Baher Rizkalla

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39782 Issued in FL

Practice address

5324 Little Rd
New Port Richey, FL 34655-1294

Phone

(727) 375-5383

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Male

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.

• St. Verena LLC.

  dba Medsource Pharmacy

  • Community/Retail Pharmacy
  • Hudson, FL
  • NPI 1245658236
  NPD (past) Authorized official
• Publix Super Markets Inc

  dba Publix Pharmacy #0643

  • Community/Retail Pharmacy
  • New Port Richey, FL
  • NPI 1447291943
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1710518063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 BENERAID ST",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387919",
            "telephone_number": "813-464-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551294",
            "telephone_number": "727-375-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "BAHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Rivera, RMHCI
• Lori Rivera, CPHT,RPT
• Migdalis Adianez Rivera, OTR
• Rosmel Rivero
• Rivers Edge Boutique Medicine LLC
• RL Spine, PLLC (Florida Spine and Injury Center)
• Debra Renee Roach, RCMNC, BSW
• Katarina Nicole Robalino
• Kayla Alexa Robalino
• Robert C Urban, Jr. M.D. LLC

• Pharmacist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.