PRESTIAGE PHARMACY AND MEDICAL SUPPLIES INC (NPI# 1053664268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053664268 |
| Entity Type | Organization |
| Organization Name | PRESTIAGE PHARMACY AND MEDICAL SUPPLIES INC |
| Practice Address |
2150 W 76th St Suite 106 Hialeah FL 33016-1882 |
| Practice Telephone | 3055583848 |
| Practice Fax Number | 3055583849 |
| Mailing Telephone | 3055583848 |
| Mailing Fax Number | 3055583849 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MRS. IDANIA ENRIQUE (PRESSIDENT) |
| Authorized Official Telephone | 3055583848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH24585 | FL | Suppliers |
| Street Address |
2150 W 76TH ST SUITE 106 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912937012 | Luis Orlando Aguiar | Internal Medicine | 2150 W 76th St, Suite 110, Hialeah, FL 33016-1839 | 2006-07-04 |
| 1326466798 | Sunshine Care Community Services Inc | Clinic/Center | 2150 W 76th St, # 103-105, Hialeah, FL 33016-1882 | 2014-04-02 |
| 1750525788 | Westland Medical Center Hmo Inc | Internal Medicine | 2150 W 76th St, Suite 110, Hialeah, FL 33016-1839 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034119 | Malecon Pharmacy Inc | Pharmacy | 5966 W 16th Ave, Hialeah, FL 33012-6814 | 2007-01-30 |
| 1831592492 | Asc Pharmacy, Inc. | Pharmacy | 3416 W 84th St, Suite 108a, Hialeah, FL 33018-4933 | 2014-09-26 |
| 1801209366 | Life Healthcare Services, Inc. | Pharmacy | 2170 W 73rd St, Hialeah, FL 33016-1820 | 2014-06-03 |
| 1104263938 | Flores Pharmacy | Pharmacy | 1475 W Okeechobee Rd Ste 5, Hialeah, FL 33010-2860 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1710505458 | Orlando Health Inc | Pharmacy | 1111 Blackwood Ave, Ocoee, FL 34761-4549 | 2020-07-09 |
| 1508498569 | Cba Pharmacy Inc | Pharmacy | 13801 Bruce B Downs Blvd Ste 102&103, Tampa, FL 33613-3946 | 2020-02-07 |
| 1730723685 | Eckerds Rx 107 LLC | Pharmacy | 710 N Brevard Ave, Arcadia, FL 34266-8778 | 2019-11-04 |
| 1780244335 | Amaranth Life Sciences Pharmaceutical, Inc. | Pharmacy | 1731 Avenida Del Sol, Boca Raton, FL 33432-1742 | 2019-06-17 |
| 1730678996 | Rav Pharma LLC | Pharmacy | 450077 State Road 200 Ste 4, Callahan, FL 32011-3863 | 2018-05-03 |
| 1720538689 | Community Specialty Pharmacy, LLC | Pharmacy | 1617 34th St S Unit B, St Petersburg, FL 33711-2855 | 2016-10-04 |
| 1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
| 1770932048 | Recept Pharmacy Lp | Pharmacy | 4011 Crescent Park Dr, Riverview, FL 33578-3605 | 2016-06-08 |
| 1417317447 | Sage Rx Specialty Pharmacy | Pharmacy | 3693 W Waters Ave # 1210, Tampa, FL 33614-2783 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.