Individual provider Active NPI

Vianca Aguilera

  • Pharmacist
  • Miami, FL
National Provider Identifier
1063927846
Registry record updated Dec 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS57275 Issued in FL
Practice address
11700 SW 104TH St
Miami, FL 33186-3601
Phone
(305) 961-1319
NPI assigned
Dec 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS57275 FL Primary

Addresses

Primary practice location

11700 SW 104TH St
Miami, FL 33186-3601

Mailing address

14402 SW 108TH Ter
Miami, FL 33186-6600
Phone (305) 764-2218

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

State licenses

LicenseStateTypeSpecialty
PS57275FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512259200000",
    "number": "1063927846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 SW 108TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866600",
            "telephone_number": "305-764-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863601",
            "telephone_number": "305-961-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "VIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2017-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57275",
            "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 Dec 3, 2017; 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.