Active NPI
Walda Riggott
- Pharmacist
- Hialeah, FL
National Provider Identifier
1801491360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS26989
- Practice address
- 1200 W 68TH St
Hialeah, FL 33014-4524 - Phone
- (305) 825-6546
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 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 | PS26989 | FL | Primary |
Addresses
Primary practice location
1200 W 68TH St
Hialeah, FL 33014-4524
Mailing address
7016 Crown Gate Dr
Miami Lakes, FL 33014-2043
Phone (786) 208-8692
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | RX03722@cvshealth.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
| License | State | Type | Specialty |
|---|---|---|---|
| PS26989 | 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": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1801491360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 CROWN GATE DR",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142043",
"telephone_number": "786-208-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W 68TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330144524",
"telephone_number": "305-825-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGOTT",
"first_name": "WALDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26989",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "RX03722@cvshealth.com",
"affiliation": "N",
"address_1": "1200 W 68th St",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330144524",
"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 Dec 2, 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.