Individual provider Active NPI

Judimith Hernandez-Chang, RPH

  • Pharmacist
  • Miami, FL
National Provider Identifier
1114282696
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS44391 Issued in FL
Practice address
14012 SW 8TH St
Miami, FL 33184-3001
Phone
(305) 559-0010
Fax
(305) 559-0080
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS44391 FL Primary

Addresses

Primary practice location

14012 SW 8TH St
Miami, FL 33184-3001

Mailing address

13971 SW 22ND St
Miami, FL 33175-7006
Phone (305) 480-5828

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS44391FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1114282696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13971 SW 22ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757006",
            "telephone_number": "305-480-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843001",
            "telephone_number": "305-559-0010",
            "fax_number": "305-559-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-CHANG",
        "first_name": "JUDIMITH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44391",
            "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 Jul 10, 2012; 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.