Active NPI
Nicole Balarezo, PHARMD
- Pharmacist
- Pompano Beach, FL
National Provider Identifier
1396102836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40355
- Practice address
- 1800 W Sample Rd
Pompano Beach, FL 33064-1324 - Phone
- (954) 972-0313
- NPI assigned
- Jan 27, 2016
- Last updated
- Jan 27, 2016
- 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 | PS40355 | FL | Primary |
Addresses
Primary practice location
1800 W Sample Rd
Pompano Beach, FL 33064-1324
Mailing address
5471 NW 40TH Ter
Coconut Creek, FL 33073-4015
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40355 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1396102836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 NW 40TH TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330641324",
"telephone_number": "954-972-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAREZO",
"first_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.