Ai Ti Pan, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0028034 Issued in FL

Practice address

4686 E Michigan St
Orlando, FL 32812-5234

Phone

(407) 277-1912

Fax

(407) 277-2026

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eddy Pan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013029404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 FORT LEE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328227100",
            "telephone_number": "407-382-5931",
            "fax_number": "407-382-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125234",
            "telephone_number": "407-277-1912",
            "fax_number": "407-277-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "AI TI",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0028034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDY",
            "last_name": "PAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pan Am Diagnostic Services, Inc.
• Pan American Behavioral Health Services of Florida
• Pan American Behavioral Health Services of Florida Incorporated
• Pan American Medical Group LLC
• Pan Goo Inc.
• Yawen Pan
• Panamerican Behavioral Health Services of Florida LLC
• Lisa M Panariello, D.P.M.
• Holly L Panas, ATC, LAT
• Philip Pancari, M.D.

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.