Individual provider Active NPI

Alvaneta Osbourne

  • Pharmacist
  • Pembroke Park, FL
National Provider Identifier
1699261578
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS33976 Issued in FL
Practice address
3948 Pembroke Rd Ste D
Pembroke Park, FL 33021-8114
Phone
(954) 240-8481
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS33976 FL Primary
Health Educator 174H00000X FL
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS33976 FL

Addresses

Primary practice location

3948 Pembroke Rd Ste D
Pembroke Park, FL 33021-8114

Mailing address

1002 NW 139TH Ter
Pembroke Pines, FL 33028-2340
Phone (954) 240-8481

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

LicenseStateTypeSpecialty
PS33976FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: aosbourne@epicc571.himndirect.health

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1699261578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NW 139TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282340",
            "telephone_number": "954-240-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 PEMBROKE RD STE D",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330218114",
            "telephone_number": "954-240-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "ALVANETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33976",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS33976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.