Active NPI
Monfort Ilteus Noel
- Pharmacist
- Pompano Beach, FL
National Provider Identifier
1861272502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66446
- Practice address
- 850 W Sample Rd
Pompano Beach, FL 33064-2000 - Phone
- (954) 785-3250
- NPI assigned
- Oct 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66446 | FL | Primary |
Addresses
Primary practice location
850 W Sample Rd
Pompano Beach, FL 33064-2000
Mailing address
3 S Pompano Pkwy
Pompano Beach, FL 33069-3001
Phone (954) 971-4940
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS66446 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1861272502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 S POMPANO PKWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693001",
"telephone_number": "954-971-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330642000",
"telephone_number": "954-785-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "MONFORT",
"middle_name": "ILTEUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.