Victor Boadi
Individual provider Active NPI Pharmacist · Marathon, FL
NPI 1427467992 · NPPES record last updated Aug 8, 2014
Key facts
- NPI
- 1427467992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS51081 (FL)
- Practice address
- 10870 Overseas Highway
Walgreens Pharmacy
Marathon, FL 33050 - Phone
- (305) 743-6929
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51081 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51081 | FL | Yes |
Addresses
Primary practice location
10870 Overseas Highway
Walgreens Pharmacy
Marathon, FL 33050
Mailing address
7321 NW 16TH St
Apt. A106
Plantation, FL 33313-5273
Phone (704) 231-4193
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.