Active NPI
Paul Ghanem, PHARMD
- Pharmacist
- Boca Raton, FL
National Provider Identifier
1659976405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59775
- Practice address
- 7016 Beracasa Way
Boca Raton, FL 33433-3447 - Phone
- (561) 391-8770
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS59775 | FL | Primary |
Addresses
Primary practice location
7016 Beracasa Way
Boca Raton, FL 33433-3447
Mailing address
7016 Beracasa Way
Boca Raton, FL 33433-3447
Phone (561) 391-8770
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59775 | 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": "1659976405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 BERACASA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333447",
"telephone_number": "561-391-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 BERACASA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333447",
"telephone_number": "561-391-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "PAUL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, 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.