Active NPI
Gleidy Peraza Lopez, PHARMD
- Pharmacist
- Miami Lakes, FL
National Provider Identifier
1407670292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS67923
- Practice address
- 6690 Eagle Nest LN
Miami Lakes, FL 33014-2264 - Phone
- (305) 821-1402
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | PS67923 | FL | Primary |
Addresses
Primary practice location
6690 Eagle Nest LN
Miami Lakes, FL 33014-2264
Mailing address
601 SW 113TH Way
Pembroke Pines, FL 33025-3440
Phone (786) 315-8216
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 |
|---|---|---|---|
| PS67923 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1407670292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 SW 113TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330253440",
"telephone_number": "786-315-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6690 EAGLE NEST LN",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142264",
"telephone_number": "305-821-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAZA LOPEZ",
"first_name": "GLEIDY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS67923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.