Organization Active NPI

GLS Pharmacy LLC

  • Pharmacy
  • Miami, FL
National Provider Identifier
1316590987
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GLS PHARMACY LLC
Practice address
15680 SW 72ND St
Miami, FL 33193-1923
Phone
(786) 391-3636
Fax
(786) 391-3701
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Isis Isel Hernandez, PHARMDNPI 1649555210
Title
PDM/Owner
Phone
(786) 391-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

15680 SW 72ND St
Miami, FL 33193-1923

Mailing address

15680 SW 72ND St
Miami, FL 33193-1923
Phone (786) 391-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200514002135 FL Part B Supplier - Pharmacy 1951732528 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

15680 SW 72nd St
Miami, FL 33193
Phone (786) 391-3636

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1316590987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931923",
            "telephone_number": "786-391-3636",
            "fax_number": "786-391-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931923",
            "telephone_number": "786-391-3636",
            "fax_number": "786-391-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ISIS",
        "authorized_official_middle_name": "ISEL",
        "authorized_official_title_or_position": "PDM/OWNER",
        "authorized_official_telephone_number": "786-391-3636",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "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 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.