Individual provider Active NPI

Manojkumar Jayantilal Nathoo, RPH

  • Pharmacist
  • Miami, FL
National Provider Identifier
1003832171
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS31086 Issued in FL
Practice address
111 NW 183Rd St
Suite 509
Miami, FL 33169-4537
Phone
(305) 892-4644
Fax
(305) 493-0817
NPI assigned
Jul 14, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS31086 FL Primary

Addresses

Primary practice location

111 NW 183Rd St
Suite 509
Miami, FL 33169-4537

Mailing address

16400 Collins Ave
644
Sunny Isles Beach, FL 33160-4564
Phone (305) 586-6829

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS31086FLMDPharmacist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22369/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1003832171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 COLLINS AVE",
            "address_2": "644",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604564",
            "telephone_number": "305-586-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 509",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-892-4644",
            "fax_number": "305-493-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHOO",
        "first_name": "MANOJKUMAR",
        "middle_name": "JAYANTILAL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31086",
            "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 Jul 23, 2007; 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.