Active NPI
Elsa Jacqueline Alonso-Roth, PHARMACIST
- Pharmacist
- Miami, FL
National Provider Identifier
1780289520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23582
- Practice address
- 13830 SW 8TH St
Miami, FL 33184-3033 - Phone
- (305) 554-1121
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- 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 | PS23582 | FL | Primary |
Addresses
Primary practice location
13830 SW 8TH St
Miami, FL 33184-3033
Mailing address
4000 Estepona Ave
Doral, FL 33178-2927
Phone (305) 554-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS23582 | Other | FL | NABP |
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 |
|---|---|---|---|
| PS23582 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": "1780289520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 ESTEPONA AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331782927",
"telephone_number": "305-554-1121",
"fax_number": "305-554-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13830 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331843033",
"telephone_number": "305-554-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO-ROTH",
"first_name": "ELSA",
"middle_name": "JACQUELINE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"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": "PS23582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "PS23582",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, 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.