Active NPI
Donny Gonzalez Medina Sr.
- Pharmacist
- Hialeah, FL
National Provider Identifier
1235734211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56940
- Practice address
- 802 E 25TH St
Hialeah, FL 33013-3402 - Phone
- (305) 450-4543
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- 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 | 183500000X | PS56940 | FL | Primary |
Addresses
Primary practice location
802 E 25TH St
Hialeah, FL 33013-3402
Mailing address
4760 NW 178TH Ter
Miami Gardens, FL 33055-3232
Phone (305) 450-4543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cvs | Other | HOLIDAY CVS LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS56940 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1235734211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 NW 178TH TER",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553232",
"telephone_number": "305-450-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133402",
"telephone_number": "305-450-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ MEDINA",
"first_name": "DONNY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56940",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cvs",
"affiliation": "Y",
"endpointDescription": "cvs",
"affiliationName": "HOLIDAY CVS LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CVS",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "802 E 25th St",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330133402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hialeah, FL
- Armando David Gonzalez Martinez
- Diana Gonzalez Martinez, BEHAVIOR TECHNICIAN
- Liset Gonzalez Martinez
- Yunaisys Gonzalez Martinez
- Gonzalez Medical Center II Inc
- Irene De la Caridad Gonzalez Mejias I
- Camila Gonzalez Mesa, RBT
- Yordan Gonzalez Montano
- Daniel Alejandro Gonzalez Mosquera
- Luisa Josefa Gonzalez Navarro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.