Active NPI
Eduardo Manuel Elias, PHARMD
- Pharmacist
- Palm Beach Gardens, FL
National Provider Identifier
1013697937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65946
- Practice address
- 6297 Pga Blvd
Palm Beach Gardens, FL 33418-4000 - Phone
- (561) 627-2505
- NPI assigned
- Jul 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS65946 | FL | Primary |
Addresses
Primary practice location
6297 Pga Blvd
Palm Beach Gardens, FL 33418-4000
Mailing address
6116 Moonbeam Dr
Lake Worth, FL 33463-6717
Phone (561) 324-1694
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 |
|---|---|---|---|
| PS65946 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6297 Pga Blvd
Palm Beach Gardens, FL 33418
Phone (561) 627-2505
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.
-
- Pharmacy
- Palm Beach Gardens, FL
- NPI 1528073640
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1013697937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 MOONBEAM DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636717",
"telephone_number": "561-324-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6297 PGA BLVD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184000",
"telephone_number": "561-627-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "EDUARDO",
"middle_name": "MANUEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.