Individual provider Active NPI

Edward Rodriguez, PHARM D. CPH

  • Pharmacist
  • Coral Springs, FL
National Provider Identifier
1841532355
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PU5716 Issued in FL
Practice address
4937 NW 106TH Ave
Coral Springs, FL 33076-2709
Phone
(965) 753-9595
Fax
(866) 385-0485
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PU5716 FL Primary

Addresses

Primary practice location

4937 NW 106TH Ave
Coral Springs, FL 33076-2709

Mailing address

4937 NW 106TH Ave
Coral Springs, FL 33076-2709
Phone (965) 753-9595

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PU5716FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1841532355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 NW 106TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762709",
            "telephone_number": "965-753-9595",
            "fax_number": "866-385-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 NW 106TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762709",
            "telephone_number": "965-753-9595",
            "fax_number": "866-385-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHARM D. CPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.