Individual provider Active NPI

Voltaire Derine, PHARM D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Miami, FL
National Provider Identifier
1124649785
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS58946 Issued in FL
Practice address
14447 Country Walk Dr
Miami, FL 33186-8104
Phone
(305) 251-7414
Fax
(305) 251-3878
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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 PS58946 FL Primary

Addresses

Primary practice location

14447 Country Walk Dr
Miami, FL 33186-8104

Mailing address

14447 Country Walk Dr
Miami, FL 33186-8104
Phone (305) 251-7414

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
PS58946FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1124649785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14447 COUNTRY WALK DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868104",
            "telephone_number": "305-251-7414",
            "fax_number": "305-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14447 COUNTRY WALK DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868104",
            "telephone_number": "305-251-7414",
            "fax_number": "305-251-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERINE",
        "first_name": "VOLTAIRE",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS58946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.