Kristina Maria Parrilla, PHARMD

Individual provider Active NPI Pharmacist · Surfside, FL

NPI 1669077657 · NPPES record last updated Nov 30, 2020

Key facts

NPI
1669077657
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS45312 (FL)
Practice address
9578 Harding Ave
Surfside, FL 33154-2502
Phone
(786) 678-1520
Fax
(305) 866-8080
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS45312FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS LLC Past
since Dec 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP
183500000X PS45312 FL Yes

Addresses

Primary practice location

9578 Harding Ave
Surfside, FL 33154-2502

Mailing address

7916 Indigo St
Miramar, FL 33023-5841
Phone (786) 678-1520

Other providers in Surfside, FL

All providers in Surfside, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.