Heavenson Aristyld

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS52200 Issued in FL

Practice address

600 S Pine Island Rd Ste 204
Plantation, FL 33324-3179

Phone

(954) 888-3900

NPI assigned

Jan 6, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Fort Lauderdale, FL
  • NPI 1104920081
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1649868522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243179",
            "telephone_number": "954-888-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Davie Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333123437",
            "country_code": "US",
            "telephone_number": "954-583-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARISTYLD",
        "first_name": "HEAVENSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52200",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS52200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Karen Arenberg, OTR
• Rony Arencibia, DMD
• Ares Medical Services LLC
• Aria Vision Care, P.a.
• Yasnay Arias, ARNP
• Arleen E. Richards, M.D., P.a.
• Arlene E Haywood, M.D., PA
• Lisa Arlotta
• Ana Lorena Armenteros, DMD
• Kyranecia Armstrong, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Plantation, FL
• Providers in Plantation, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.