Active NPI
Carla Alexandra Luque, PHARM.D., M.S., C.PH
- Pharmacist
- Hollywood, FL
National Provider Identifier
1811338403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29581
- Practice address
- 5425 Hayes St
Hollywood, FL 33021-4630 - Phone
- (305) 733-0102
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS29581 | FL | Primary |
| Pharmacist | 183500000X | PU7024 | FL |
Addresses
Primary practice location
5425 Hayes St
Hollywood, FL 33021-4630
Mailing address
5425 Hayes St
Hollywood, FL 33021-4630
Phone (305) 733-0102
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS29581 | FL | MD | Pharmacist |
| PU7024 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1811338403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 HAYES ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214630",
"telephone_number": "305-733-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 HAYES ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214630",
"telephone_number": "305-733-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUQUE",
"first_name": "CARLA",
"middle_name": "ALEXANDRA",
"credential": "PHARM.D., M.S., C.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29581",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU7024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.