Active NPI
Antoine Mourani
- Pharmacist
- Fort Lauderdale, FL
National Provider Identifier
1104335322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54673
- Practice address
- 1303 SE 17TH St
Suite D1
Fort Lauderdale, FL 33316 - Phone
- (954) 687-0774
- NPI assigned
- Sep 20, 2017
- 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 | PS54673 | FL | Primary |
Addresses
Primary practice location
1303 SE 17TH St
Suite D1
Fort Lauderdale, FL 33316
Mailing address
1303 SE 17TH St Ste D1
Fort Lauderdale, FL 33316-1722
Phone (954) 687-0774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS54673 | Other | FL | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PS54673 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Pharmacy & Medical Supply | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1225564107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104335322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 SE 17TH ST STE D1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161722",
"telephone_number": "954-687-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 SE 17TH ST",
"address_2": "SUITE D1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-687-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURANI",
"first_name": "ANTOINE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PS54673",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.