Individual provider Active NPI

Amjad K Nimri

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1013281872
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS28792 Issued in FL
Practice address
7645 Merrill Rd Ste 210
Jacksonville, FL 32277-6574
Phone
(904) 442-8822
NPI assigned
Feb 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS28792 FL Primary

Addresses

Primary practice location

7645 Merrill Rd Ste 210
Jacksonville, FL 32277-6574

Mailing address

11252 Turnbridge Dr
Jacksonville, FL 32256-2342
Phone (904) 755-6254

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
PS28792FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Plus Inc Current Accepting new patients

Locations

7645 Merrill Rd
Ste 210
Jacksonville, FL 32277
Phone (904) 442-8822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330214400000",
    "number": "1013281872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11252 TURNBRIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562342",
            "telephone_number": "904-755-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 MERRILL RD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776574",
            "telephone_number": "904-442-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMRI",
        "first_name": "AMJAD",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.