Kazi H Imam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS37202 Issued in FL

Practice address

12425 Hagen Ranch Rd
Boynton Beach, FL 33437-4107

Phone

(561) 292-4494

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #1067

  • Community/Retail Pharmacy
  • Boynton Beach, FL
  • NPI 1841454782
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1265572739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 CYPRESS LAKES PRESERVE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494627",
            "telephone_number": "561-249-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 HAGEN RANCH RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374107",
            "telephone_number": "561-292-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "KAZI",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37202",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idl Medical PA
• David Ijac, MD
• Im Medical, P.a.
• Imaging Center of West Palm Beach LLC (Imaging Center of Boynton Beach)
• Imaging Center of West Palm Beach,LLC (Imaging Center of Boynton Beach East)
• Imatter Adult Day Center
• Francesca Imberti, RPH
• Img Medical Group de PA
• Immersion Recovery Center LLC
• Incera Mental Wellness Center LLC

• Pharmacist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.