Active NPI
Yesenia Nieves, PHARM D
- Pharmacist
- Hialeah, FL
National Provider Identifier
1295268043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52614
- Practice address
- 770 W 29TH St
Hialeah, FL 33012-5606 - Phone
- (305) 884-2720
- NPI assigned
- Apr 9, 2017
- Sex
- Female
- 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 | PS52614 | FL | Primary |
Addresses
Primary practice location
770 W 29TH St
Hialeah, FL 33012-5606
Mailing address
1960 SW 124TH Way
Miramar, FL 33027-2532
Phone (305) 904-7498
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 |
|---|---|---|---|
| PS52614 | 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 and National Provider Directory roles.
-
- Pharmacy
- Hialeah, FL
- NPI 1497761936
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491696000000",
"number": "1295268043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 SW 124TH WAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272532",
"telephone_number": "305-904-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W 29TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125606",
"telephone_number": "305-884-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "YESENIA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2017-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.