Active NPI
Cla Pharmacy Group LLC
- Community/Retail Pharmacy
- Naples, FL
National Provider Identifier
1619490356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH30776
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2170118 | Other | PK |
Other names 1
- BENZER PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NAPLES | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI 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.