Individual provider Active NPI

Oliver Osadebe Anam, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Pembroke Pines, FL
National Provider Identifier
1093047482
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS25124 Issued in FL
Practice address
966 NW 100TH Ave
Pembroke Pines, FL 33024-4372
Phone
(305) 332-9024
Fax
(954) 437-9879
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS25124 FL Primary

Addresses

Primary practice location

966 NW 100TH Ave
Pembroke Pines, FL 33024-4372

Mailing address

966 NW 100TH Ave
Pembroke Pines, FL 33024-4372
Phone (305) 332-9024

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
PS25124FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1093047482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 NW 100TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244372",
            "telephone_number": "305-332-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 NW 100TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244372",
            "telephone_number": "305-332-9024",
            "fax_number": "954-437-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAM",
        "first_name": "OLIVER",
        "middle_name": "OSADEBE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS25124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.