Active NPI
Charles D Straus, RPH
- Pharmacist
- Davie, FL
National Provider Identifier
1356509798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0016511
- Practice address
- 11204 W State Road 84
Davie, FL 33325-4021 - Phone
- (954) 476-0203
- Fax
- (954) 476-7642
- NPI assigned
- May 31, 2008
- Last updated
- Nov 14, 2011
- 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 | PS0016511 | FL | Primary |
Addresses
Primary practice location
11204 W State Road 84
Davie, FL 33325-4021
Mailing address
6153 Osprey Ter
Coconut Creek, FL 33073-2617
Phone (954) 428-2018
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 |
|---|---|---|---|
| PS0016511 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1356509798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6153 OSPREY TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732617",
"telephone_number": "954-428-2018",
"fax_number": "954-428-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11204 W STATE ROAD 84",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254021",
"telephone_number": "954-476-0203",
"fax_number": "954-476-7642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUS",
"first_name": "CHARLES",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-31",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0016511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.