Individual provider Active NPI

Liliette Lopez Moreno

  • Pharmacist
  • Miami, FL
National Provider Identifier
1083583769
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS69799 Issued in FL
Practice address
15000 SW 72ND St
Miami, FL 33193-2301
Phone
(305) 387-1300
NPI assigned
Nov 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS69799 FL Primary

Addresses

Primary practice location

15000 SW 72ND St
Miami, FL 33193-2301

Mailing address

18214 SW 146TH CT
Miami, FL 33177-3339

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
PS69799FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1761955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1083583769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18214 SW 146TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932301",
            "telephone_number": "305-387-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MORENO",
        "first_name": "LILIETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS69799",
            "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 1, 2025; 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.