Active NPI
Christopher Prellezo, PHARM. D.
- Pharmacist
- Miramar, FL
National Provider Identifier
1144611146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52749
- Practice address
- 2499 SW 101St Ave
Miramar, FL 33025-5082 - Phone
- (954) 436-6247
- NPI assigned
- Feb 12, 2015
- Last updated
- Feb 12, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS52749 | FL | Primary |
Addresses
Primary practice location
2499 SW 101St Ave
Miramar, FL 33025-5082
Mailing address
1422 SW 147TH Ter
Pembroke Pines, FL 33027-6188
Phone (305) 281-9508
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 |
|---|---|---|---|
| PS52749 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1144611146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 SW 147TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276188",
"telephone_number": "305-281-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 SW 101ST AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255082",
"telephone_number": "954-436-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELLEZO",
"first_name": "CHRISTOPHER",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.