Active NPI
Jorge Adam Natal, PHARMD
- Pharmacist
- Seminole, FL
National Provider Identifier
1033991930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66308
- Practice address
- 10200 Seminole Blvd
Seminole, FL 33778-4201 - Phone
- (727) 395-0139
- NPI assigned
- Oct 17, 2023
- Last updated
- Oct 17, 2023
- 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 | PS66308 | FL | Primary |
Addresses
Primary practice location
10200 Seminole Blvd
Seminole, FL 33778-4201
Mailing address
871 Ibis Walk PL N Unit 4307
Saint Petersburg, FL 33716-3853
Phone (301) 908-9561
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66308 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1033991930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 IBIS WALK PL N UNIT 4307",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337163853",
"telephone_number": "301-908-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SEMINOLE BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337784201",
"telephone_number": "727-395-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATAL",
"first_name": "JORGE",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.