Martin Abreu, PHARMACIST
Individual provider Active NPI Pharmacist · Miramar, FL
NPI 1831474584 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1831474584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS24718 (FL)
- Practice address
- 2499 S Palm Ave
Miramar, FL 33025-5082 - Phone
- (954) 436-6247
- Fax
- (954) 438-4837
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS24718 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS24718 | FL | Yes |
Addresses
Primary practice location
2499 S Palm Ave
Miramar, FL 33025-5082
Mailing address
2499 S Palm Ave
Miramar, FL 33025-5082
Phone (954) 436-6247
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.