Active NPI
Amgad Estafan, RPH
- Pharmacist
- Orlando, FL
National Provider Identifier
1023388055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38596
- Practice address
- 409 E Michigan St
Orlando, FL 32806-4541 - Phone
- (321) 888-2222
- NPI assigned
- Jan 6, 2012
- Last updated
- Jun 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38596 | FL | Primary |
Addresses
Primary practice location
409 E Michigan St
Orlando, FL 32806-4541
Mailing address
409 E Michigan St
Orlando, FL 32806-4541
Phone (321) 888-2222
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38596 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metromeds Pharmacy LLC | Current | Accepting new patients | |
| Metromeds LTC LLC | Past | Accepting new patients |
Locations
409 E Michigan St
Orlando, FL 32806
Phone (321) 888-2222
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1508115890
-
- Long Term Care Pharmacy
- Orlando, FL
- NPI 1710601604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1023388055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064541",
"telephone_number": "321-888-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064541",
"telephone_number": "321-888-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTAFAN",
"first_name": "AMGAD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.