Organization Active NPI

Redondo Pharmacy

  • Pharmacy
  • Opa Locka, FL
National Provider Identifier
1306978036
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH6665 Issued in FL
Legal business name
REDONDO PHARMACY
Practice address
19533 NW 57TH Ave
Opa Locka, FL 33055-4709
Phone
(305) 625-0225
Fax
(305) 625-0253
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Gilbert D Redondo
Title
President
Phone
(305) 625-0225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5519190001 FL
Pharmacy 333600000X PH6665 FL Primary

Addresses

Primary practice location

19533 NW 57TH Ave
Opa Locka, FL 33055-4709

Mailing address

19533 NW 57TH Ave
Opa Locka, FL 33055-4709
Phone (305) 625-0225

National Provider Directory

National Provider Directory

Locations

19533 NW 57th Ave
Miami Gardens, FL 33055
Phone (305) 625-0225

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306978036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19533 NW 57TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330554709",
            "telephone_number": "305-625-0225",
            "fax_number": "305-625-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19533 NW 57TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330554709",
            "telephone_number": "305-625-0225",
            "fax_number": "305-625-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDONDO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REDONDO",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-625-0225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "5519190001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH6665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.