Individual provider Active NPI

Gissel Hermida, PHARMD

  • Pharmacist
  • Davie, FL
National Provider Identifier
1508377664
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS57233 Issued in FL
Practice address
5851 Summerlake Dr Apt 304
Davie, FL 33314-3650
Phone
(954) 338-0057
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS57233 FL Primary

Addresses

Primary practice location

5851 Summerlake Dr Apt 304
Davie, FL 33314-3650

Mailing address

5851 Summerlake Dr Apt 304
Davie, FL 33314-3650
Phone (954) 338-0057

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

LicenseStateTypeSpecialty
PS57233FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1508377664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 SUMMERLAKE DR APT 304",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143650",
            "telephone_number": "954-338-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 SUMMERLAKE DR APT 304",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143650",
            "telephone_number": "954-338-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIDA",
        "first_name": "GISSEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.