Individual provider Active NPI

Yordy Julian Ponce de Leon, PHARM D

  • Pharmacist
  • Miami, FL
National Provider Identifier
1063743987
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS44712 Issued in FL
Practice address
7167 W Flagler St
Miami, FL 33144-2601
Phone
(305) 266-3705
Fax
(305) 266-3706
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS44712 FL Primary

Addresses

Primary practice location

7167 W Flagler St
Miami, FL 33144-2601

Mailing address

7167 W Flagler St
Miami, FL 33144-2601
Phone (305) 266-3705

Other practice location 1

2032 NW 22nd Ave
Miami, FL 33142-7338
Phone (305) 634-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS44712FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
PDL Pharmacy Corp Current Accepting new patients
Mdcare Infusion Center LLC Current Accepting new patients
Farmacia Las Martinas Past Accepting new patients

Locations

7167 W Flagler St
Miami, FL 33144
Phone (305) 264-6585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1063743987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7167 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442601",
            "telephone_number": "305-266-3705",
            "fax_number": "305-266-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7167 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442601",
            "telephone_number": "305-266-3705",
            "fax_number": "305-266-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2032 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331427338",
            "country_code": "US",
            "telephone_number": "305-634-6027",
            "fax_number": "305-634-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE DE LEON",
        "first_name": "YORDY",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.