Individual provider Active NPI

Alan F Simcich, R.PH.

  • Pharmacist
  • Lake Park, FL
National Provider Identifier
1124156781
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS16135 Issued in FL
Practice address
228 U.S. Hwy One
Lake Park, FL 33403
Phone
(561) 844-1191
Fax
(564) 842-1588
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS16135 FL Primary

Addresses

Primary practice location

228 U.S. Hwy One
Lake Park, FL 33403

Mailing address

2076 Ascott Rd
North Palm Beach, FL 33408-2102
Phone (561) 626-1972

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
PS16135FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CND3 Inc PastSince Nov 24, 2019 Accepting new patients
CND3 Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124156781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 ASCOTT RD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082102",
            "telephone_number": "561-626-1972",
            "fax_number": "561-842-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 U.S. HWY ONE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-844-1191",
            "fax_number": "564-842-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCICH",
        "first_name": "ALAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS16135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.