Sandra Eisenman

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

RPT38699 Issued in FL

Practice address

4519 Hollywood Blvd
Hollywood, FL 33021-6611

Phone

(954) 987-4125

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Max Drugs Inc

  • Pharmacist
  • Hollywood, FL
  • NPI 1619977535
  NPD (past)
• Max Drugs Inc

  • Community/Retail Pharmacy
  • Davie, FL
  • NPI 1881779452
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1700350527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216611",
            "telephone_number": "954-987-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216611",
            "telephone_number": "954-987-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT38699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Jarrad Ehrlich, CRNA
• Kathie Ager Einstein, LCSW
• Malcolm Eiselman, M.D.
• Gail C Eisenberg, M.D.
• Aron Eisenkeit, MD
• Bonnie F Eisenson, M.S., OTR/L
• Eric Abraham Eisner, MD
• Glory Kelechi Ekwunezi
• Michel Maroun El Khouri Faieta, M.S.
• Mohamed Saleh L- El Zaeedi, MD

• Pharmacy Technician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.