Active NPI
Tenille Gilzene, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lauderhill, FL
National Provider Identifier
1124403985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS49788
- Practice address
- 3760 Inverrary Dr
Apt 2E
Lauderhill, FL 33319-5125 - Phone
- (954) 684-3994
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS49788 | FL | Primary |
Addresses
Primary practice location
3760 Inverrary Dr
Apt 2E
Lauderhill, FL 33319-5125
Mailing address
520 Bordeaux St
Apt 2
Chadron, NE 69337-2975
Phone (954) 684-3994
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49788 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1124403985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 BORDEAUX ST",
"address_2": "APT 2",
"city": "CHADRON",
"state": "NE",
"postal_code": "693372975",
"telephone_number": "954-684-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 INVERRARY DR",
"address_2": "APT 2E",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333195125",
"telephone_number": "954-684-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILZENE",
"first_name": "TENILLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS49788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.