Theodore Elisme
Pharmacist
12130 Ne Miami Pl, North Miami
Florida, 33161-5359
954-296-4399 Theodore Elisme is a pharmacist in North Miami, Florida. Patients can reach him at 12130 Ne Miami Pl, North Miami or contact him on 954-296-4399. Active license number of Theodore Elisme is 59957 for Pharmacist in Florida.
Theodore Elisme is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Theodore Elisme speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Theodore Elisme |
| Specialization: | Pharmacist |
| Gender: | Male |
| Location: | 12130 Ne Miami Pl, North Miami,
Florida, 33161-5359 |
| Phone: | 954-296-4399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Theodore Elisme are as mentioned below.
| NPI Number: | 1477195824 |
| NPI Enumeration Date: | 16 Oct, 2019 |
| NPI Last Update On: | 16 Oct, 2019 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore Elisme are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 59957 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Theodore Elisme such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 59957 | Other | Florida | Pharmacy |
| 59957 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12130 Ne Miami Pl,
North Miami, Florida |
| Zip: | 33161-5359 |
| Phone Number: | 954-296-4399 |
Patients can reach Theodore Elisme at
12130 Ne Miami Pl, North Miami, Florida or can
call on phone at 954-296-4399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.