Active NPI
Leonid Slobodskoy, PHARMD
- Pharmacist
- Miami, FL
National Provider Identifier
1962907923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50231
- Practice address
- 439 NW 12TH Ave
Miami, FL 33128-1020 - Phone
- (305) 867-1228
- NPI assigned
- Mar 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PU7480 | FL | |
| Pharmacist | 183500000X | PS50231 | FL | Primary |
Addresses
Primary practice location
439 NW 12TH Ave
Miami, FL 33128-1020
Mailing address
1111 Kane Concourse Ste 518
Bay Harbor Islands, FL 33154-2043
Phone (305) 867-1228
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 |
|---|---|---|---|
| PS50231 | FL | MD | Pharmacist |
| PU7480 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julio'S Pharmacy & Discount | Current | Accepting new patients | |
| Julio'S Pharmacy Inc | Current | Accepting new patients | |
| Taquechel Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hialeah, FL
- NPI 1992862726
-
- Pharmacy Technician
- Hialeah, FL
- NPI 1629042056
-
- Community/Retail Pharmacy
- Aventura, FL
- NPI 1750838967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1962907923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 KANE CONCOURSE STE 518",
"city": "BAY HARBOR ISLANDS",
"state": "FL",
"postal_code": "331542043",
"telephone_number": "305-867-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331281020",
"telephone_number": "305-867-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOBODSKOY",
"first_name": "LEONID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PU7480",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50231",
"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 Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.