Active NPI
Ereny Wahba Labib Beshara
- Pharmacist
- Clearwater, FL
National Provider Identifier
1609347293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57167
- Practice address
- 14100 58TH St N
Clearwater, FL 33760-9900 - Phone
- (727) 824-8181
- Fax
- (727) 824-8174
- NPI assigned
- Dec 8, 2018
- 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 | PS57167 | FL | Primary |
Addresses
Primary practice location
14100 58TH St N
Clearwater, FL 33760-9900
Mailing address
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
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 |
|---|---|---|---|
| PS57167 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1609347293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181",
"fax_number": "727-824-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESHARA",
"first_name": "ERENY",
"middle_name": "WAHBA LABIB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-08",
"last_updated": "2024-02-15",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.