David Michel Iskandar

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS62296 Issued in FL

Practice address

5820 S Williamson Dr Blvd #2
Port Orange, FL 32128

Phone

(386) 366-8888

NPI assigned

Aug 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Marimina LLC

  dba Port Orange Pharmacy

  • Community/Retail Pharmacy
  • Port Orange, FL
  • NPI 1932602372
  NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1013684000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 S WILLIAMSON BLVD STE 2",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286401",
            "telephone_number": "386-366-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 S WILLIAMSON DR BLVD #2",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "386-366-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "DAVID",
        "middle_name": "MICHEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Touch Chiropractic and Wellness Center Inc
• Indian River Medical Center LLC
• Infinity ABA Therapy, LLC
• Infusion and Nursing Services
• Insightful Therapeutic Solutions LLC
• Isner Chiropractic Clinic, Inc.
• J. Kim Periodontics, LLC
• J. Michael Panczyszyn, D.D.S., PA
• Denise Jacks, ARNP
• Jon C Jackson, M.D.

• Pharmacist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.