Ragwa Antonus, RPH
Individual provider Active NPI Pharmacist · Oviedo, FL
NPI 1033838461 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1033838461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS41922 (FL)
- Practice address
- 8315 Red Bug Lake Rd
Oviedo, FL 32765-6860 - Phone
- (407) 590-7084
- Fax
- (407) 977-5620
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41922 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41922 | FL | Yes |
Addresses
Primary practice location
8315 Red Bug Lake Rd
Oviedo, FL 32765-6860
Mailing address
8315 Red Bug Lake Rd
Oviedo, FL 32765-6860
Phone (407) 977-5613
NPI Registry JSON
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1033838461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 RED BUG LAKE RD",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656860",
"telephone_number": "407-977-5613",
"fax_number": "407-977-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8315 RED BUG LAKE RD",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656860",
"telephone_number": "407-590-7084",
"fax_number": "407-977-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONUS",
"first_name": "RAGWA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.