Individual provider Active NPI

Patrick Julien Ngassa Yongue, RPH

  • Pharmacist
  • Lake Mary, FL
National Provider Identifier
1144693581
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54307 Issued in FL
Practice address
100 Technology Park Ste 158
Lake Mary, FL 32746-6205
Phone
(407) 268-7611
NPI assigned
Nov 6, 2015
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54307 FL Primary

Addresses

Primary practice location

100 Technology Park Ste 158
Lake Mary, FL 32746-6205

Mailing address

100 Technology Park Ste 158
Lake Mary, FL 32746-6205
Phone (407) 268-7611

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
PS54307FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1144693581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 158",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466205",
            "telephone_number": "407-268-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 158",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466205",
            "telephone_number": "407-268-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGASSA YONGUE",
        "first_name": "PATRICK JULIEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.