Active NPI
Mauricio Menard
- Pharmacist
- Cutler Bay, FL
National Provider Identifier
1750986386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55141
- Practice address
- 19198 S Dixie Hwy
Cutler Bay, FL 33157-7715 - Phone
- (305) 252-8662
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55141 | FL | Primary |
Addresses
Primary practice location
19198 S Dixie Hwy
Cutler Bay, FL 33157-7715
Mailing address
19198 S Dixie Hwy
Cutler Bay, FL 33157-7715
Phone (305) 252-8662
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 |
|---|---|---|---|
| PS55141 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Current | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Locations
19198 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 252-8662
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1750986386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19198 S DIXIE HWY",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577715",
"telephone_number": "305-252-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19198 S DIXIE HWY",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577715",
"telephone_number": "305-252-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "MAURICIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.