Eduardo Ancizar, RPHT, CPHT-ADV

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

RPT10977 Issued in FL

Practice address

901 NW 17TH St Ste D
Miami, FL 33136-1135

Phone

(786) 717-4183

Fax

(305) 355-2288

NPI assigned

Jul 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1144847302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 BULL RUN RD APT 170G",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142140",
            "telephone_number": "954-559-2660",
            "fax_number": "305-585-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 17TH ST STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361135",
            "telephone_number": "786-717-4183",
            "fax_number": "305-355-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361096",
            "country_code": "US",
            "telephone_number": "786-717-4183",
            "fax_number": "305-355-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANCIZAR",
        "first_name": "EDUARDO",
        "credential": "RPHT, CPHT-ADV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT10977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY LICENSE",
            "identifier": "RPT10977",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN CERTIFICATION BOARD",
            "identifier": "500107010",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "5303019942",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy Technician in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.