Active NPI
Alan F Simcich, R.PH.
- Pharmacist
- Lake Park, FL
National Provider Identifier
1124156781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS16135
- Practice address
- 228 U.S. Hwy One
Lake Park, FL 33403 - Phone
- (561) 844-1191
- Fax
- (564) 842-1588
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS16135 | FL | MD | Pharmacist |
Practice roles
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": "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.