Active NPI
Andre Spencer
- Pharmacy Technician
- Miami Gardens, FL
National Provider Identifier
1700408374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT77316
- Practice address
- 5400 NW 175TH St
Miami Gardens, FL 33055-3541 - Phone
- (786) 633-9684
- NPI assigned
- May 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT77316 | FL | Primary |
Addresses
Primary practice location
5400 NW 175TH St
Miami Gardens, FL 33055-3541
Mailing address
5400 NW 175TH St
Miami Gardens, FL 33055-3541
Phone (786) 633-9684
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TheRoialtyCompany@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT77316 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589673600000",
"number": "1700408374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 NW 175TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553541",
"telephone_number": "786-633-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 NW 175TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553541",
"telephone_number": "786-633-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ANDRE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-17",
"last_updated": "2020-05-17",
"certification_date": "2020-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT77316",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TheRoialtyCompany@gmail.com",
"affiliation": "N",
"endpointDescription": "professional email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5400 NW 175th St",
"city": "Miami Gardens",
"state": "FL",
"country_code": "US",
"postal_code": "330553541",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.