Individual provider Active NPI

Eugenio Jose Santibanez, RPT, CPHT

  • Pharmacy Technician
  • Hallandale Beach, FL
National Provider Identifier
1912692401
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
RPT34648 Issued in FL
Practice address
600 Ansin Blvd
Hallandale Beach, FL 33009-2118
Phone
(954) 874-4646
NPI assigned
Apr 10, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X RPT34648 FL Primary

Addresses

Primary practice location

600 Ansin Blvd
Hallandale Beach, FL 33009-2118

Mailing address

2745 W 70TH PL
Hialeah, FL 33016-5418
Phone (305) 979-7930

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

LicenseStateTypeSpecialty
RPT34648FLMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1912692401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W 70TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165418",
            "telephone_number": "305-979-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ANSIN BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092118",
            "telephone_number": "954-874-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIBANEZ",
        "first_name": "EUGENIO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "RPT, CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT34648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.