Active NPI
Etienne L Ariol, RPH
- Pharmacist
- Miramar, FL
National Provider Identifier
1114202819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29900
- Practice address
- 12400 Pembroke Rd
Miramar, FL 33027-2505 - Phone
- (954) 430-9510
- NPI assigned
- Oct 14, 2011
- Last updated
- Oct 14, 2011
- Sex
- Male
- 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 | PS29900 | FL | Primary |
Addresses
Primary practice location
12400 Pembroke Rd
Miramar, FL 33027-2505
Mailing address
1858 NW 139TH Ter
Pembroke Pines, FL 33028-2833
Phone (954) 602-1882
Other names 1
- N/a N/a N/a
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 |
|---|---|---|---|
| PS29900 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1114202819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 NW 139TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282833",
"telephone_number": "954-602-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 PEMBROKE RD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272505",
"telephone_number": "954-430-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIOL",
"first_name": "ETIENNE",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"middle_name": "N/A",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.