Unknown Individual – Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, NPI 1609030378

Unknown Individual is a healthcare provider. based in Southwest ranches, Florida. specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. They hold a License No. PS28488 (FL). The NPI Number for Unknown Individual is 1609030378

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609030378
Phone
(954) 434-2793
Address
5575 SW 198TH TER
Deactivation Date
3 May 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5575, Southwest 198th Terrace, Southwest Ranches, Broward County, Florida, 33332, United States

    SW RANCHES

    SOUTHWEST RANCHES, FL 333321539

    Phone: (954) 434-2793

    Type: Mailing

  • 1751, Bonaventure Boulevard, Weston, Broward County, Florida, 33326, United States

    WESTON

    WESTON, FL 333264039

    Phone: (954) 385-0014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33332)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1609030378 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Southwest Ranches, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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