Individual provider Active NPI

Joshua Eisenman, PHARMD, RPH

  • Pharmacist
  • Davie, FL
National Provider Identifier
1013282680
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS48593 Issued in FL
Practice address
4343 S State Road 7 Ste 107
Davie, FL 33314-4009
Phone
(954) 987-4125
Fax
(954) 987-8049
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS48593 FL Primary

Addresses

Primary practice location

4343 S State Road 7 Ste 107
Davie, FL 33314-4009

Mailing address

4343 S State Road 7 Ste 107
Davie, FL 33314-4009
Phone (954) 987-4125

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS48593FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Max Drugs Inc CurrentSince Sep 1, 2020 Accepting new patients
Max Drugs Inc Pharmacist CurrentSince Sep 1, 2020 Accepting new patients

Locations

4343 S State Road 7
Ste 107
Davie, FL 33314
Phone (954) 987-4125

4519 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 987-4125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1013282680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 S STATE ROAD 7 STE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144009",
            "telephone_number": "954-987-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 S STATE ROAD 7 STE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144009",
            "telephone_number": "954-987-4125",
            "fax_number": "954-987-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.