Individual provider Active NPI

Gennica Nereus

  • Pharmacist
  • Davie, FL
National Provider Identifier
1548177553
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS71398 Issued in FL
Practice address
13628 W State Road 84
Davie, FL 33325-5301
Phone
(954) 474-7123
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS71398 FL Primary

Addresses

Primary practice location

13628 W State Road 84
Davie, FL 33325-5301

Mailing address

2345 NW 34TH St
Miami, FL 33142-5307
Phone (954) 474-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1548177553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 NW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425307",
            "telephone_number": "954-474-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13628 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255301",
            "telephone_number": "954-474-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEREUS",
        "first_name": "GENNICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS71398",
            "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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.