Active NPI
Samantha Bezzina
- Pharmacist
- Plantation, FL
National Provider Identifier
1255811907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58250
- Practice address
- 10065 Cleary Blvd
Plantation, FL 33324 - Phone
- (954) 473-4000
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- 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 | PS58250 | FL | Primary |
Addresses
Primary practice location
10065 Cleary Blvd
Plantation, FL 33324
Mailing address
5500 SW 130TH Ave
Southwest Ranches, FL 33330-3102
Phone (954) 858-6198
Other practice location 1
5500 SW 130th Ave
Southwest Ranches, FL 33330-3102
Phone (954) 858-6198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS58250 | Other | FL | PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS58250 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1255811907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 SW 130TH AVE",
"city": "SOUTHWEST RANCHES",
"state": "FL",
"postal_code": "333303102",
"telephone_number": "954-858-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 CLEARY BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-473-4000"
}
],
"practiceLocations": [
{
"address_1": "5500 SW 130th Ave",
"address_purpose": "LOCATION",
"city": "Southwest Ranches",
"state": "FL",
"postal_code": "333303102",
"country_code": "US",
"telephone_number": "954-858-6198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEZZINA",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS58250",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.