Douglas Gardens Community Mental Health Center Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH10854 Issued in FL

Legal business name

DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER PHARMACY

Practice address

1680 Meridian Ave
4TH Floor
Miami Beach, FL 33139-2719

Phone

(305) 531-5341

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mary Eleanor Lanser, LCSW

Title

Executive Director

Phone

(305) 531-5341

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Douglas GDNS Com MTL HL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Douglas Gardens CMHC

  • Community/Behavioral Health Agency
  • Miami Beach, FL
  • NPI 1588720965
  NPD tax ID
• Douglas Gardens Community Mental Health Center of Miami Beach, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Beach, FL
  • NPI 1114991544
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962574723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MERIDIAN AVE",
            "address_2": "SUITE 501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392719",
            "telephone_number": "305-531-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MERIDIAN AVE",
            "address_2": "4TH FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392719",
            "telephone_number": "305-531-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LANSER",
        "authorized_official_first_name": "MARY ELEANOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-531-5341",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10854",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH10854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1075630",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doral Beach OB/GYN, LLC
• Gustavo Dorigo, LMT
• Mohamed Karam Douedari, MD
• Douglas Gardens CMHC
• Douglas Gardens Community Mental Health Center of Miami Beach, Inc.
• Charissa Anne Douglas-Rudder, FNP-BC, ARNP
• Dr Don Shapiro
• Dr Miami Beach LLC
• Dr Steven R. Kaplan
• Dr. H Wasserman PA

• Community/Retail Pharmacy in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.