Active NPI
Maylen Mesa
- Pharmacist
- Miami, FL
National Provider Identifier
1811546419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59852
- Practice address
- 14190 SW 26TH St
Miami, FL 33175-7257 - Phone
- (305) 559-7745
- NPI assigned
- Sep 5, 2019
- Last updated
- Sep 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59852 | FL | Primary |
Addresses
Primary practice location
14190 SW 26TH St
Miami, FL 33175-7257
Mailing address
11340 SW 45TH St
Miami, FL 33165-5542
Phone (305) 263-0194
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 |
|---|---|---|---|
| PS59852 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1811546419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11340 SW 45TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655542",
"telephone_number": "305-263-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14190 SW 26TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757257",
"telephone_number": "305-559-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESA",
"first_name": "MAYLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59852",
"primary": true
}
],
"identifiers": [],
"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 Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.