COUNTRY CLUB PHARMACY & DISCOUNT INC (NPI# 1447691555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447691555 |
| Entity Type | Organization |
| Organization Name | COUNTRY CLUB PHARMACY & DISCOUNT INC |
| Practice Address |
5911 Nw 173rd Dr # 6 Hialeah FL 33015-5121 |
| Practice Telephone | 3058288600 |
| Practice Fax Number | 3058288630 |
| Mailing Telephone | 3058288600 |
| Mailing Fax Number | 3058288630 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | DAISY MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 3058288600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH26903 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NUMB | 3719 | 01 |
| Street Address |
5911 NW 173RD DR # 6 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33015-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356641559 | Country Club Pharmacy and Discount Inc | Pharmacy | 5911 Nw 173rd Dr, # 6, Hialeah, FL 33015-5121 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480664 | Yannalisis Guerrero | Behavior Technician | 7035 Nw 186th St (apto D-305), Hialeah, FL 33015 | 2020-09-06 |
| 1528697851 | Sensory Kidz | Occupational Therapist | 7345 North Augusta Drive, Hialeah, FL 33015 | 2020-04-07 |
| 1790323178 | New Life Community Center Inc | Case Management | 7840 Nw 178 St, Palm Springs North, FL 33015 | 2019-12-16 |
| 1134771579 | Margarita Velez Cabrera | Behavior Technician | 7090 Nw 179th St Apt 108, Hialeah, FL 33015 | 2019-07-16 |
| 1669943056 | Maydelin Navarro | Nurse Practitioner | 8208 Nw 201 St, Hialeah, FL 33015 | 2018-12-10 |
| 1740750322 | Mayte Liz Fuster Rodriguez | Nurse Practitioner | 7785 Nw 201 Ter, Hialeah, FL 33015 | 2018-11-27 |
| 1427536721 | Yaquelin Munero Gonzalez | Behavior Technician | 18965 Nw 62nd Ave Apt 104, Hialeah, FL 33015 | 2018-07-30 |
| 1306339015 | Magdaline Marie Torres-adorno | Family Medicine | 18610 Nw 87th Ave Ste 101-201, Hialeah, FL 33015 | 2018-06-08 |
| 1689165094 | Orange Care of Miami | In Home Supportive Care | 18320 Nw 68th Ave Apt G, Hialeah, FL 33015 | 2018-05-21 |
| 1659876845 | Nancy Ulloa | Counselor | 5951 Nw 173 Drive, Suite 3b, Miami, FL 33015 | 2018-03-28 |
| Find all providers in zip 33015 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1427560564 | Pharmacy Care Center LLC | Pharmacy | 2081 W 76th St Ste 102, Hialeah, FL 33016-1834 | 2017-10-30 |
| 1417970898 | Sylvestre Pharmacy Corp | Pharmacy | 1268 Palm Ave, Hialeah, FL 33010-3921 | 2006-07-26 |
| 1063990521 | Easy Comfort Inc | Pharmacy | 1711 W 38th Pl Ste 1207, Hialeah, FL 33012-7034 | 2018-08-06 |
| 1083013361 | Healthnet Pharmacy Services, Inc. | Pharmacy | 1550 W 84th St, Suite 31, Hialeah, FL 33014-3377 | 2014-08-22 |
| 1962833038 | D & Y Pharmacy Corp | Pharmacy | 3715 W 16th Ave, Bay 15, Hialeah, FL 33012-7071 | 2013-11-27 |
| 1700229499 | Sylvestre Pharmacy Corp | Pharmacy | 1268 Palm Ave, Hialeah, FL 33010-3921 | 2013-04-11 |
| 1740549500 | Evergreen Pharmacy Inc | Pharmacy | 875 E 10th Ave, Hialeah, FL 33010-4645 | 2012-05-14 |
| 1912289547 | Mgc Pharmacy LLC | Pharmacy | 1516 E 4th Ave, Hialeah, FL 33010-3159 | 2011-09-09 |
| 1255613899 | Mgc Pharmacy LLC | Pharmacy | 1516 E 4th Ave, Hialeah, FL 33010-3159 | 2011-09-09 |
| 1366425795 | Medical Priority Inc | Pharmacy | 1671 W 37th St, Suite 6, Hialeah, FL 33012-4639 | 2005-11-21 |
| Find all providers in HIALEAH | ||||
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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.