Active NPI
Frank Moavero
- Pharmacist
- Winter Park, FL
National Provider Identifier
1104141027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS19216
- Practice address
- 501 N Orlando Ave
Kmart Pharmacy #3563
Winter Park, FL 32789-7313 - Phone
- (407) 644-8828
- Fax
- (407) 644-7254
- NPI assigned
- Apr 3, 2010
- Sex
- Male
- Sole proprietor
- No
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 | PS19216 | FL | Primary |
Addresses
Primary practice location
501 N Orlando Ave
Kmart Pharmacy #3563
Winter Park, FL 32789-7313
Mailing address
501 N Orlando Ave
Kmart Pharmacy #3563
Winter Park, FL 32789-7313
Phone (407) 644-8828
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS19216 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270252800000",
"number": "1104141027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N ORLANDO AVE",
"address_2": "KMART PHARMACY #3563",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327897313",
"telephone_number": "407-644-8828",
"fax_number": "407-644-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N ORLANDO AVE",
"address_2": "KMART PHARMACY #3563",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327897313",
"telephone_number": "407-644-8828",
"fax_number": "407-644-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAVERO",
"first_name": "FRANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-03",
"last_updated": "2010-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS19216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.