Individual provider Active NPI

Reza Rahemi, PHARMD

  • Pharmacist
  • Plantation, FL
National Provider Identifier
1043828064
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS60774 Issued in FL
Practice address
1885 N Pine Island Rd
Plantation, FL 33322-5208
Phone
(954) 472-3134
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
PS60774FLMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS60774 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1885 N Pine Island Rd
Plantation, FL 33322-5208

Mailing address

1885 N Pine Island Rd
Plantation, FL 33322-5208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2020.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1043828064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225208",
            "telephone_number": "954-472-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEMI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.