Siham Nassif Boutrus, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS38487 Issued in FL

Practice address

4201 NW 88TH Ave
Sunrise, FL 33351-6047

Phone

(954) 749-6965

Fax

(954) 749-6138

NPI assigned

Sep 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215039755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13231 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273416",
            "telephone_number": "954-438-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516047",
            "telephone_number": "954-749-6965",
            "fax_number": "954-749-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTRUS",
        "first_name": "SIHAM",
        "middle_name": "NASSIF",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.