Active NPI
Samir Bota
- Pharmacist
- Miami Beach, FL
National Provider Identifier
1649875535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58935
- Practice address
- 1045 5TH St
Miami Beach, FL 33139-6545 - Phone
- (305) 421-9598
- NPI assigned
- Dec 1, 2020
- 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 | PS58935 | FL | Primary |
Addresses
Primary practice location
1045 5TH St
Miami Beach, FL 33139-6545
Mailing address
6780 Congress Ave Apt 401
Boca Raton, FL 33487-1547
Phone (619) 855-3399
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 |
|---|---|---|---|
| PS58935 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1649875535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6780 CONGRESS AVE APT 401",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871547",
"telephone_number": "619-855-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 5TH ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396545",
"telephone_number": "305-421-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTA",
"first_name": "SAMIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.