Organization Active NPI

Cla Pharmacy Group LLC

  • Community/Retail Pharmacy
  • Naples, FL
National Provider Identifier
1619490356
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30776 Issued in FL
Legal business name
CLA PHARMACY GROUP LLC
Practice address
5240 Golden Gate Pkwy
Naples, FL 34116-7670
Phone
(239) 241-2864
Fax
(239) 234-5489
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Deysi Iglesias
Title
Owner
Phone
(239) 234-6835

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH30776 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

5240 Golden Gate Pkwy
Naples, FL 34116-7670

Mailing address

5240 Golden Gate Pkwy
Naples, FL 34116-7670
Phone (239) 241-2864

Other identifiers 1

IdentifierTypeStateIssuer
2170118OtherPK

Other names 1

  • BENZER PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NAPLES Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1619490356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167670",
            "telephone_number": "239-241-2864",
            "fax_number": "239-234-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167670",
            "telephone_number": "239-241-2864",
            "fax_number": "239-234-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLA PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "DEYSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-234-6835"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30776",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170118",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NAPLES",
            "affiliation": "N",
            "endpointDescription": "Phone call",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5240 Golden Gate Pkwy",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341167670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BENZER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.