Active NPI
Kristi Bouras, PHARMD
- Pharmacist
- Coconut Creek, FL
National Provider Identifier
1013284256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41683
- Practice address
- 4351 W Sample Rd
Coconut Creek, FL 33073-3478 - Phone
- (954) 978-4979
- Fax
- (954) 978-7351
- NPI assigned
- Nov 16, 2011
- Last updated
- Nov 16, 2011
- Sex
- Female
- 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 | 183500000X | PS41683 | FL | Primary |
| Pharmacist | 183500000X | 26020893A | IN |
Addresses
Primary practice location
4351 W Sample Rd
Coconut Creek, FL 33073-3478
Mailing address
4351 W Sample Rd
Coconut Creek, FL 33073-3478
Phone (954) 978-4979
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 |
|---|---|---|---|
| PS41683 | FL | MD | Pharmacist |
| 26020893A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1013284256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 W SAMPLE RD",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733478",
"telephone_number": "954-978-4979",
"fax_number": "954-978-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 W SAMPLE RD",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733478",
"telephone_number": "954-978-4979",
"fax_number": "954-978-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURAS",
"first_name": "KRISTI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41683",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26020893A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
- Bofshever Wellness Center LLC
- Harley J Bofshever, DC
- Teresa Marie Boland, ARNP, FAARM, LMFT
- Book Your Nurse Medical Services, LLC (Book Your Nurse Medical Appointment Services / companion.)
- Mouriel Deyanira Boucher, DO
- Kelsey Brannock, MPS, ATR-P
- Brcastrong Corp
- Brenda Okyn
- Sherell Breus
- Bridge Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.