Unknown Individual – Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, NPI 1760823165

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. They hold a License No. PU103 (FL). The NPI Number for Unknown Individual is 1760823165

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760823165
Phone
(954) 989-6524
Address
4401 SHERIDAN ST
Deactivation Date
4 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4401 SHERIDAN ST

    HOLLYWOOD, FL 330213513

    Phone: (954) 989-6524

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33021)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1760823165.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Hollywood, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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