Individual provider Active NPI

Nasser M Richmond, BSPHARM

  • Pharmacist
  • Miami, FL
National Provider Identifier
1497829873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35225 Issued in FL
Practice address
11030 NW 7TH Ave
Miami, FL 33168-2110
Phone
(305) 756-9552
Fax
(305) 756-9569
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS35225 FL Primary

Addresses

Primary practice location

11030 NW 7TH Ave
Miami, FL 33168-2110

Mailing address

10325 SW 23Rd CT
Miramar, FL 33025-1770
Phone (954) 392-8275

Other identifiers 1

IdentifierTypeStateIssuer
PS35225OtherFLFLORIDA LICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Pharmacy LLC CurrentSince Jan 2, 2025 Accepting new patients

Locations

10645 NW 7th Ave
Ste 104
Miami, FL 33150
Phone (786) 963-6008

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497829873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 SW 23RD CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330251770",
            "telephone_number": "954-392-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682110",
            "telephone_number": "305-756-9552",
            "fax_number": "305-756-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "NASSER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "BSPHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PS35225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.