Individual provider Active NPI

David Sampedro, PHARMD

  • Pharmacist
  • Hialeah, FL
National Provider Identifier
1255986337
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59522 Issued in FL
Practice address
1980 E 4TH Ave
Hialeah, FL 33010-2714
Phone
(305) 691-1968
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59522 FL Primary

Addresses

Primary practice location

1980 E 4TH Ave
Hialeah, FL 33010-2714

Mailing address

7211 SW 5TH Ter
Miami, FL 33144-2743
Phone (305) 965-4379

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hialeah

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

LicenseStateTypeSpecialty
PS59522FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1255986337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 SW 5TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442743",
            "telephone_number": "305-965-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102714",
            "telephone_number": "305-691-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPEDRO",
        "first_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hialeah",
            "affiliation": "N",
            "address_1": "1980 E 4th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330102714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.