Active NPI
Paul Scott Zickerman, RPH
- Pharmacist
- Miramar, FL
National Provider Identifier
1265102438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31969
- Practice address
- 2650 SW 145TH Ave
Miramar, FL 33027-6606 - Phone
- (800) 662-0586
- Fax
- (800) 662-0590
- NPI assigned
- Sep 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 31969 | FL | Primary |
Addresses
Primary practice location
2650 SW 145TH Ave
Miramar, FL 33027-6606
Mailing address
8887 Rockridge Glen CV
Boynton Beach, FL 33473-4830
Phone (561) 424-6140
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 |
|---|---|---|---|
| 31969 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1265102438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8887 ROCKRIDGE GLEN CV",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334734830",
"telephone_number": "561-424-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 SW 145TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276606",
"telephone_number": "800-662-0586",
"fax_number": "800-662-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZICKERMAN",
"first_name": "PAUL",
"middle_name": "SCOTT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "31969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.