Active NPI
Tony Diep
- Pharmacist
- Sunrise, FL
National Provider Identifier
1497030274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36570
- Practice address
- 10881 W Oakland Park Blvd
Sunrise, FL 33351-6813 - Phone
- (954) 748-5000
- NPI assigned
- Oct 12, 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 | PS36570 | FL | Primary |
Addresses
Primary practice location
10881 W Oakland Park Blvd
Sunrise, FL 33351-6813
Mailing address
10881 W Oakland Park Blvd
Sunrise, FL 33351-6813
Phone (954) 748-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36570 | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1497030274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10881 W OAKLAND PARK BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516813",
"telephone_number": "954-748-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10881 W OAKLAND PARK BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516813",
"telephone_number": "954-748-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEP",
"first_name": "TONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36570",
"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 Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.