Individual provider Active NPI

Amer H Abdelmaksoud

  • Pharmacist
  • Dunedin, FL
National Provider Identifier
1124725882
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59192 Issued in FL
Practice address
2196 Main St
Dunedin, FL 34698-5693
Phone
(727) 648-2680
NPI assigned
Feb 13, 2023
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
PS59192FLMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59192 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2196 Main St
Dunedin, FL 34698-5693

Mailing address

3019 Jacob Crossing LN
Holiday, FL 34691-6848

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PS59192OtherFLN/A

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2023.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1124725882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 JACOB CROSSING LN",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346916848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985693",
            "telephone_number": "727-648-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMAKSOUD",
        "first_name": "AMER",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "PS59192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.