Active NPI
Angel John, PHARM.D
- Pharmacist
- Sunrise, FL
National Provider Identifier
1407140908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43985
- Practice address
- 12801 W Sunrise Blvd
Sunrise, FL 33323-4020 - Phone
- (954) 846-0716
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- 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 | PS43985 | FL | Primary |
Addresses
Primary practice location
12801 W Sunrise Blvd
Sunrise, FL 33323-4020
Mailing address
12801 W Sunrise Blvd
Target 0815
Sunrise, FL 33323-4020
Phone (954) 846-0716
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 |
|---|---|---|---|
| PS43985 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1407140908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 W SUNRISE BLVD",
"address_2": "TARGET 0815",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333234020",
"telephone_number": "954-846-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 W SUNRISE BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333234020",
"telephone_number": "954-846-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.