Individual provider Active NPI

Alexandra Maldonado

  • Pharmacist
  • Plantation, FL
National Provider Identifier
1417245705
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS44623 Issued in FL
Practice address
8201 Federated West Roadway
T-1480
Plantation, FL 33324-2719
Phone
(954) 377-0086
Fax
(954) 377-0086
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS44623 FL Primary

Addresses

Primary practice location

8201 Federated West Roadway
T-1480
Plantation, FL 33324-2719

Mailing address

8201 Federated West Roadway
T-1480
Plantation, FL 33324-2719
Phone (954) 377-0086

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

State licenses

LicenseStateTypeSpecialty
PS44623FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1417245705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 FEDERATED WEST ROADWAY",
            "address_2": "T-1480",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242719",
            "telephone_number": "954-377-0086",
            "fax_number": "954-377-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 FEDERATED WEST ROADWAY",
            "address_2": "T-1480",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242719",
            "telephone_number": "954-377-0086",
            "fax_number": "954-377-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.