Individual provider Active NPI

Odalys Del Carmen Pino-Bravo

  • Pharmacist
  • Miami, FL
National Provider Identifier
1578167060
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS29775 Issued in FL
Practice address
1601 W Flagler St
Miami, FL 33135-2119
Phone
(305) 649-3643
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS29775 FL Primary

Addresses

Primary practice location

1601 W Flagler St
Miami, FL 33135-2119

Mailing address

1601 W Flagler St
Miami, FL 33135-2119
Phone (305) 649-3643

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Miami

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
PS29775FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1578167060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352119",
            "telephone_number": "305-649-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352119",
            "telephone_number": "305-649-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO-BRAVO",
        "first_name": "ODALYS",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "1601 W Flagler St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331352119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.