Individual provider Active NPI

Stuart H Whiteman, R.PH.

  • Geriatric Pharmacist
  • Weston, FL
National Provider Identifier
1821296724
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
14665 Issued in FL
Practice address
2955 W Corporate Lakes Blvd
Ste 600
Weston, FL 33331-3663
Phone
(954) 660-5555
Fax
(954) 660-5566
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 14665 FL Primary
Geriatric Pharmacist 1835G0303X 36894 CA

Addresses

Primary practice location

2955 W Corporate Lakes Blvd
Ste 600
Weston, FL 33331-3663

Mailing address

13393 NW 11TH Dr
Sunrise, FL 33323-2934
Phone (954) 846-0622

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14665FLMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnicare Pharmacy of Florida, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1821296724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13393 NW 11TH DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232934",
            "telephone_number": "954-846-0622",
            "fax_number": "954-944-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 W CORPORATE LAKES BLVD",
            "address_2": "STE 600",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313663",
            "telephone_number": "954-660-5555",
            "fax_number": "954-660-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "STUART",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "14665",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "36894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.