Active NPI
Jennyflore Eliazar, PHARMD
- Pharmacist
- Boca Raton, FL
National Provider Identifier
1063187706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62972
- Practice address
- 1001 SW 2ND Ave
Boca Raton, FL 33432-7245 - Phone
- (561) 395-4765
- NPI assigned
- Aug 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62972 | FL | Primary |
Addresses
Primary practice location
1001 SW 2ND Ave
Boca Raton, FL 33432-7245
Mailing address
1001 SW 2ND Ave
Boca Raton, FL 33432-7245
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 |
|---|---|---|---|
| PS62972 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1063187706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW 2ND AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW 2ND AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327245",
"telephone_number": "561-395-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAZAR",
"first_name": "JENNYFLORE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
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- Sahar Elhadary
- Vanessa Elharrar, MD
- Eli S. Levine, MD, PA (Advanced Heart & Vascular Institute)
- Ludger Girardo Eliacin, M.D.
- Jean-Philippe Elie, MD
- Aviv Elimelech
- Elina Agency, Inc
- Elite Dermatology and Aesthetic Institute, LLC (Elite Medicine and Aesthetic Institute)
- Elite Diabetes and Endocrine Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.