Individual provider Active NPI

Rianna Alicia Banwarie, PHARMD

  • Pharmacist
  • Coconut Creek, FL
National Provider Identifier
1053713719
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 52659 Issued in FL
Practice address
4732 Acadian TRL
Coconut Creek, FL 33073-3447
Phone
(954) 593-6356
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 52659 FL Primary

Addresses

Primary practice location

4732 Acadian TRL
Coconut Creek, FL 33073-3447

Mailing address

4732 Acadian TRL
Coconut Creek, FL 33073-3447
Phone (954) 593-6356

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
PS 52659FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1053713719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 ACADIAN TRL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733447",
            "telephone_number": "954-593-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 ACADIAN TRL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733447",
            "telephone_number": "954-593-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANWARIE",
        "first_name": "RIANNA",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 52659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.