Active NPI
Gbenga Aguebor, PHARM.D.
- Pharmacist
- North Miami Beach, FL
National Provider Identifier
1942024906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS67817
- Practice address
- 16550 NE 6TH Ave
North Miami Beach, FL 33162-3646 - Phone
- (305) 940-6172
- NPI assigned
- Nov 14, 2024
- Last updated
- Nov 14, 2024
- Sex
- Male
- 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 | PS67817 | FL | Primary |
Addresses
Primary practice location
16550 NE 6TH Ave
North Miami Beach, FL 33162-3646
Mailing address
7960 Plantation Blvd
Miramar, FL 33023-2454
Phone (954) 536-8145
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS67817 | 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": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1942024906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 PLANTATION BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330232454",
"telephone_number": "954-536-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16550 NE 6TH AVE",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623646",
"telephone_number": "305-940-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUEBOR",
"first_name": "GBENGA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS67817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.