Active NPI
Stuart H Whiteman, R.PH.
- Geriatric Pharmacist
- Weston, FL
National Provider Identifier
1821296724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 14665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14665 | FL | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Long Term Care Pharmacy
- Weston, FL
- NPI 1609804376
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.