Active NPI
Gayle Lynn Andersen, R.PH.
- Pharmacist
- Miami, FL
National Provider Identifier
1164508313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15031
- Practice address
- 18300 SW 137TH Ave
Miami, FL 33177-6482 - Phone
- (305) 234-9411
- Fax
- (305) 234-9942
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 15031 | FL | Primary |
Addresses
Primary practice location
18300 SW 137TH Ave
Miami, FL 33177-6482
Mailing address
1162 SW 102ND CT
Miami, FL 33174-2731
Phone (305) 559-7412
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15031 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164508313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 SW 102ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331742731",
"telephone_number": "305-559-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 SW 137TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331776482",
"telephone_number": "305-234-9411",
"fax_number": "305-234-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "GAYLE",
"middle_name": "LYNN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "15031",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.