Individual provider Active NPI

Rossana Maritza Laguna-Miranda

  • Ambulatory Care Pharmacist
  • Naples, FL
National Provider Identifier
1134723281
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PS42128 Issued in FL
Practice address
5585 Golden Gate Pkwy
Naples, FL 34116-7547
Phone
(239) 353-8770
Fax
(239) 353-6735
NPI assigned
Nov 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X PS42128 FL Primary

Addresses

Primary practice location

5585 Golden Gate Pkwy
Naples, FL 34116-7547

Mailing address

5585 Golden Gate Pkwy
Naples, FL 34116-7547
Phone (239) 353-8770

Other identifiers 1

IdentifierTypeStateIssuer
PS42128OtherFLORIDA HEALTH DEPARTMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pharmacy

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
PS42128FLMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS LLC PastSince Dec 6, 2020 Accepting new patients
Holiday CVS L.L.C. PastSince Dec 6, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1134723281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167547",
            "telephone_number": "239-353-8770",
            "fax_number": "238-353-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167547",
            "telephone_number": "239-353-8770",
            "fax_number": "239-353-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUNA-MIRANDA",
        "first_name": "ROSSANA",
        "middle_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "PS42128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTH DEPARTMENT",
            "identifier": "PS42128",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy",
            "affiliation": "N",
            "address_1": "5585 Golden Gate Pkwy",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341167547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.