Active NPI
Jean Baptiste Stlouis
- Pharmacy
- North Miami, FL
National Provider Identifier
1104420207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Practice address
- 600 NE 128TH St
North Miami, FL 33161-4829 - Phone
- (305) 893-0560
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
600 NE 128TH St
North Miami, FL 33161-4829
Mailing address
600 NE 128TH St
North Miami, FL 33161-4829
Other practice location 1
600 NE 128th St
North Miami, FL 33161-4829
Phone (305) 893-0560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116901012 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Miramar |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Pharmacy | Past | Accepting new patients |
| Holiday CVS L.L.C. | Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- North Miami, FL
- NPI 1205930187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1104420207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NE 128TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NE 128TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614829",
"telephone_number": "305-893-0560"
}
],
"practiceLocations": [
{
"address_1": "600 NE 128th St",
"address_purpose": "LOCATION",
"city": "North Miami",
"state": "FL",
"postal_code": "331614829",
"country_code": "US",
"telephone_number": "305-893-0560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STLOUIS",
"first_name": "JEAN",
"middle_name": "BAPTISTE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1116901012",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Miramar",
"affiliation": "N",
"address_1": "600 NE 128th St",
"city": "North Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331614829",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.