Active NPI
Jeffrey L Fine
- Pharmacist
- Miami Beach, FL
National Provider Identifier
1962099820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46731
- Practice address
- 4040 Prairie Ave
Miami Beach, FL 33140-3512 - Phone
- (305) 532-8364
- NPI assigned
- Dec 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PS46731 | FL | Primary |
Addresses
Primary practice location
4040 Prairie Ave
Miami Beach, FL 33140-3512
Mailing address
2370 NE 195TH St
Miami, FL 33180-2130
Phone (305) 495-9358
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 |
|---|---|---|---|
| PS46731 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1962099820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 NE 195TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331802130",
"telephone_number": "305-495-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 PRAIRIE AVE",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403512",
"telephone_number": "305-532-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JEFFREY",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.