Mohammad Aminul Islam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS38953 Issued in FL

Practice address

1995 N Highway 19
Eustis, FL 32726-6728

Phone

(352) 589-1330

Fax

(352) 589-7469

NPI assigned

Oct 3, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Eustis, FL
  • NPI 1871697730
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1023732062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 WOLF RIDGE LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579145",
            "telephone_number": "352-551-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 N HIGHWAY 19",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266728",
            "telephone_number": "352-589-1330",
            "fax_number": "352-589-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMAD",
        "middle_name": "AMINUL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Primary Care PLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative Physical Medicine of Mount Dora LLC
• Daija Leanne Irizarry, CF-SLP
• Tiffany Irvin
• Dane Jack
• Matthew Joseph Jackson, D.D.S.
• Nabat Jacobs
• James W. Young III MD PA
• Janean Furdock, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.