Active NPI
Michael A Carbone, R.PH.
- Pharmacist
- Boca Raton, FL
National Provider Identifier
1023321957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23397
- Practice address
- 9101 Lakeridge Blvd
Suite #10
Boca Raton, FL 33496-2181 - Phone
- (561) 487-9260
- Fax
- (561) 488-6333
- NPI assigned
- Jul 20, 2010
- Last updated
- Jul 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS23397 | FL | Primary |
| Pharmacist | 183500000X | 20925 | NC | |
| Pharmacist | 183500000X | 28RI01961800 | NJ | |
| Pharmacist | 183500000X | PH21871 | MA | |
| Pharmacist | 183500000X | 17399 | MD | |
| Pharmacist | 183500000X | 036695-1 | NY |
Addresses
Primary practice location
9101 Lakeridge Blvd
Suite #10
Boca Raton, FL 33496-2181
Mailing address
18560 Harbor Light Way
Boca Raton, FL 33498-4928
Phone (561) 789-3935
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20925 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| PS23397 | FL | MD | Pharmacist |
| PH21871 | MA | MD | Pharmacist |
| 17399 | MD | MD | Pharmacist |
| 28RI01961800 | NJ | MD | Pharmacist |
| 036695-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westwood Pharmacy Inc | Past | Accepting new patients | |
| Westwood Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Coral Springs, FL
- NPI 1821003468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1023321957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18560 HARBOR LIGHT WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984928",
"telephone_number": "561-789-3935",
"fax_number": "561-488-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 LAKERIDGE BLVD",
"address_2": "SUITE #10",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962181",
"telephone_number": "561-487-9260",
"fax_number": "561-488-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONE",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS23397",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20925",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01961800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH21871",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17399",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036695-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.