Active NPI
Angel Puchi, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fort Lauderdale, FL
National Provider Identifier
1699072249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS31337
- Practice address
- 2323 NW 19TH St Ste 6
Fort Lauderdale, FL 33311-3400 - Phone
- (954) 535-0318
- Fax
- (195) 435-0319
- NPI assigned
- Feb 17, 2011
- Last updated
- Feb 17, 2011
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS31337 | FL | Primary |
Addresses
Primary practice location
2323 NW 19TH St Ste 6
Fort Lauderdale, FL 33311-3400
Mailing address
2323 NW 19TH St Ste 6
Fort Lauderdale, FL 33311-3400
Phone (954) 535-0318
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 |
|---|---|---|---|
| PS31337 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speedy Scripts II Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Speedy Scripts II Pharmacy
- Durable Medical Equipment & Medical Supplies
- FR Lauderdale, FL
- NPI 1558453530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1699072249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 NW 19TH ST STE 6",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333113400",
"telephone_number": "954-535-0318",
"fax_number": "195-435-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 NW 19TH ST STE 6",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333113400",
"telephone_number": "954-535-0318",
"fax_number": "195-435-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCHI",
"first_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS31337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Publix Super Markets Inc (Publix Pharmacy #1094)
- Publix Super Markets Inc (Publix Pharmacy #0850)
- Publix Super Markets Inc (Publix Pharmacy #0070)
- Publix Super Markets Inc (Publix Pharmacy #0715)
- Publix Super Markets, Inc. (Publix Pharmacy #2005)
- Ivan Puente, M.D.
- Migsary Puig Foyo
- Carlos Puig, CBHCM
- Joseph Puleo, D.P.M
- Nicole Ann Puleo, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.