Individual provider Active NPI

Mariela Goni Camejo

  • Pharmacist
  • Miami, FL
National Provider Identifier
1831794742
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45905 Issued in FL
Practice address
8740 Bird Rd
Miami, FL 33165-5470
Phone
(305) 221-1833
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45905 FL Primary

Addresses

Primary practice location

8740 Bird Rd
Miami, FL 33165-5470

Mailing address

8740 Bird Rd
Miami, FL 33165-5470
Phone (305) 221-1833

Other identifiers 1

IdentifierTypeStateIssuer
PS45905OtherFLFLORIDA BOARD OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.cvs.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
PS45905FLMDPharmacist

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": "1831794742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655470",
            "telephone_number": "305-221-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655470",
            "telephone_number": "305-221-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONI CAMEJO",
        "first_name": "MARIELA",
        "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": "PS45905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF HEALTH",
            "identifier": "PS45905",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cvs.com",
            "affiliation": "N",
            "address_1": "8740 Bird Rd",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331655470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.

Verify at the official NPI Registry.