Ronald W Pelham, R.CPH.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

17657 Issued in FL

Practice address

16555 NW 25TH Ave
Opa Locka, FL 33054-6583

Phone

(786) 466-1625

Fax

(786) 466-1754

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1568644839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1625",
            "fax_number": "786-466-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1625",
            "fax_number": "786-466-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELHAM",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "R.CPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU3188",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "17657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Steven Ostroff, DMD
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• Lauren Parets Castillo
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• Maile Pereira Acebal
• Liliana Perez Bernal
• Marisabel Perez Lopez
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• Pharmacotherapy Pharmacist in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.