Active NPI
Aymen Botros
- Pharmacist
- Tampa, FL
National Provider Identifier
1124399266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45781
- Practice address
- 8514 Fawn Creek Dr
Tampa, FL 33626-2323 - Phone
- (646) 644-9467
- Fax
- (646) 644-9467
- NPI assigned
- Jan 20, 2012
- 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 | PS45781 | FL | Primary |
Addresses
Primary practice location
8514 Fawn Creek Dr
Tampa, FL 33626-2323
Mailing address
8514 Fawn Creek Drive
Tampa, FL 33626
Phone (646) 644-9467
Other practice location 1
4319 N Armenia Ave
Tampa, FL 33607-6427
Phone (813) 874-5434
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 |
|---|---|---|---|
| PS45781 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1124399266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 FAWN CREEK DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33626",
"telephone_number": "646-644-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 FAWN CREEK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262323",
"telephone_number": "646-644-9467",
"fax_number": "646-644-9467"
}
],
"practiceLocations": [
{
"address_1": "4319 N Armenia Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076427",
"country_code": "US",
"telephone_number": "813-874-5434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTROS",
"first_name": "AYMEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.