Active NPI
Woodlyne Eloisin
- Pharmacist
- Boynton Beach, FL
National Provider Identifier
1760831788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44109
- Practice address
- 9824 S Military TRL
Boynton Beach, FL 33436-3201 - Phone
- (561) 732-9115
- Fax
- (561) 732-5216
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | PS44109 | FL | Primary |
Addresses
Primary practice location
9824 S Military TRL
Boynton Beach, FL 33436-3201
Mailing address
9824 S Military TRL
Boynton Beach, FL 33436-3201
Phone (561) 732-9115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS44109 | Other | FL | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS44109 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | 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 and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1760831788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9824 S MILITARY TRL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334363201",
"telephone_number": "561-732-9115",
"fax_number": "561-732-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9824 S MILITARY TRL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334363201",
"telephone_number": "561-732-9115",
"fax_number": "561-732-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELOISIN",
"first_name": "WOODLYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PS44109",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.