Active NPI
Dennis Soumoff, RPH
- Pharmacist
- Fort Lauderdale, FL
National Provider Identifier
1346342979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS00012195
- Practice address
- 680 N Federal Hwy
Fort Lauderdale, FL 33304-4687 - Phone
- (954) 764-2425
- Fax
- (954) 764-2421
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- 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 | PS00012195 | FL | Primary |
Addresses
Primary practice location
680 N Federal Hwy
Fort Lauderdale, FL 33304-4687
Mailing address
10921 NW 12TH PL
Plantation, FL 33322-6930
Phone (954) 423-9660
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 |
|---|---|---|---|
| PS00012195 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346342979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 NW 12TH PL",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226930",
"telephone_number": "954-423-9660",
"fax_number": "954-423-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333044687",
"telephone_number": "954-764-2425",
"fax_number": "954-764-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMOFF",
"first_name": "DENNIS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS00012195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.