Individual provider Active NPI

Gilda Clara Padron-Layuno

  • Pharmacist
  • Midland, MI
National Provider Identifier
1124628607
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315179380 Issued in MI
Practice address
910 Joe Mann Blvd
Midland, MI 48642-8903
Phone
(989) 835-6364
Fax
(989) 835-1984
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315179380 MI Primary

Addresses

Primary practice location

910 Joe Mann Blvd
Midland, MI 48642-8903

Mailing address

5723 Londonberrie CT
Midland, MI 48640-6968
Phone (989) 948-2249

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
5315179380MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1124628607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 LONDONBERRIE CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406968",
            "telephone_number": "989-948-2249",
            "fax_number": "989-835-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 JOE MANN BLVD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428903",
            "telephone_number": "989-835-6364",
            "fax_number": "989-835-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON-LAYUNO",
        "first_name": "GILDA",
        "middle_name": "CLARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315179380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.