Individual provider Active NPI

Ivette Soto, RPH

  • Pharmacist
  • Hallandale Beach, FL
National Provider Identifier
1780085522
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS38831 Issued in FL
Practice address
645 W Hallandale Beach Blvd Ste 107
Hallandale Beach, FL 33009-5345
Phone
(305) 570-1933
Fax
(305) 570-2433
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS38831 FL Primary

Addresses

Primary practice location

645 W Hallandale Beach Blvd Ste 107
Hallandale Beach, FL 33009-5345

Mailing address

7698 NW 178TH St
Hialeah, FL 33015-6161
Phone (305) 467-4868

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS38831FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Confidential Pharma CurrentSince Feb 24, 2022 Accepting new patients
Latin Medical Supply Inc Past Accepting new patients

Locations

645 W Hallandale Beach Blvd
Ste 107
Hallandale Beach, FL 33009
Phone (305) 570-1933

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1780085522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7698 NW 178TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156161",
            "telephone_number": "305-467-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W HALLANDALE BEACH BLVD STE 107",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095345",
            "telephone_number": "305-570-1933",
            "fax_number": "305-570-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "IVETTE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.