Active NPI
Laidys Roque, PHARMD
- Pharmacist
- Davie, FL
National Provider Identifier
1619286036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PU6357
- Practice address
- 4040 SW 84TH Ter
Davie, FL 33328-2951 - Phone
- (954) 701-4496
- Fax
- (954) 236-6988
- NPI assigned
- Oct 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41378 | FL | |
| Pharmacist | 183500000X | PU6357 | FL | Primary |
Addresses
Primary practice location
4040 SW 84TH Ter
Davie, FL 33328-2951
Mailing address
4040 SW 84TH Ter
Davie, FL 33328-2951
Phone (954) 701-4496
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS41378 | FL | MD | Pharmacist |
| PU6357 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1619286036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 SW 84TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282951",
"telephone_number": "954-701-4496",
"fax_number": "954-236-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 SW 84TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282951",
"telephone_number": "954-701-4496",
"fax_number": "954-236-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "LAIDYS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-03",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41378",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU6357",
"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 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.