Individual provider Active NPI

Bishoy Anis

  • Pharmacist
  • Sarasota, FL
National Provider Identifier
1801409107
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS60348 Issued in FL
Practice address
4057 Crockers Lake Blvd Apt 2511
Sarasota, FL 34238-5319
Phone
(941) 877-8753
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS60348 FL Primary

Addresses

Primary practice location

4057 Crockers Lake Blvd Apt 2511
Sarasota, FL 34238-5319

Mailing address

4057 Crockers Lake Blvd Apt 2511
Sarasota, FL 34238-5319
Phone (941) 877-8753

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sarasota Other

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
PS60348FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1801409107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 CROCKERS LAKE BLVD APT 2511",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385319",
            "telephone_number": "941-877-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 CROCKERS LAKE BLVD APT 2511",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385319",
            "telephone_number": "941-877-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIS",
        "first_name": "BISHOY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sarasota",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Sarasota",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Englewood",
            "address_1": "4057 Crockers Lake Blvd Apt 2511",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342385319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.