Individual provider Active NPI

Elizabeth Gatsonis, RPH

  • Pharmacist
  • Hollywood, FL
National Provider Identifier
1376865394
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS23653 Issued in FL
Practice address
3800 Oakwood Blvd
Hollywood, FL 33020-7114
Phone
(954) 922-7845
Fax
(954) 922-5627
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS23653 FL Primary
Pharmacist 183500000X 19895 MA

Addresses

Primary practice location

3800 Oakwood Blvd
Hollywood, FL 33020-7114

Mailing address

3800 Oakwood Blvd
Hollywood, FL 33020-7114
Phone (954) 922-7845

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS23653FLMDPharmacist
19895MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1376865394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 OAKWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207114",
            "telephone_number": "954-922-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 OAKWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207114",
            "telephone_number": "954-922-7845",
            "fax_number": "954-922-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATSONIS",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS23653",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "19895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.