Angel Puchi, PHARM.D
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Lauderdale, FL
NPI 1699072249 · NPPES record last updated Feb 17, 2011
Key facts
- NPI
- 1699072249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- PS31337 (FL)
- 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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS31337 | FL | Yes |
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
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.