Individual provider Active NPI

Gholamali Asl, RPH

  • Pharmacist
  • Palm Harbor, FL
National Provider Identifier
1053681270
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS32440 Issued in FL
Practice address
33670 US 19 N
Palm Harbor, FL 34684-2640
Phone
(727) 785-7643
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS32440 FL Primary

Addresses

Primary practice location

33670 US 19 N
Palm Harbor, FL 34684-2640

Mailing address

4380 Ridgemoor Dr N
Palm Harbor, FL 34685-3171
Phone (727) 772-7525

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

LicenseStateTypeSpecialty
PS32440FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1053681270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 RIDGEMOOR DR N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853171",
            "telephone_number": "727-772-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33670 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842640",
            "telephone_number": "727-785-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASL",
        "first_name": "GHOLAMALI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS32440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.