Individual provider Active NPI

Yaisel Quintana Suarez

  • Pharmacist
  • Hialeah, FL
National Provider Identifier
1790401347
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47491 Issued in FL
Practice address
5958 W 16TH Ave
Hialeah, FL 33012-6814
Phone
(305) 364-5912
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS47491 FL Primary

Addresses

Primary practice location

5958 W 16TH Ave
Hialeah, FL 33012-6814

Mailing address

5958 W 16TH Ave
Hialeah, FL 33012-6814
Phone (305) 364-5912

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@yaipharmacy.com

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

LicenseStateTypeSpecialty
PS47491FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yai Pharmacy LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

5958 W 16th Ave
Hialeah, FL 33012
Phone (305) 364-5912

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1790401347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-364-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-364-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA SUAREZ",
        "first_name": "YAISEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@yaipharmacy.com",
            "affiliation": "N",
            "address_1": "5958 W 16th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330126814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.