Active NPI
Village Discount Pharmacy
- Community/Retail Pharmacy
- Wildwood, FL
National Provider Identifier
1174006399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VILLAGE DISCOUNT PHARMACY
- Doing business as
- Village Discount Pharmacy LLC
- Practice address
- 3990 E St 44 Suite 207
E SR44 Suite 207
Wildwood, FL 34785 - Phone
- (407) 492-3041
- Fax
- (352) 399-6234
- NPI assigned
- Sep 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gamal Abouelwafa Omar, RPH
- Title
- Owner /Pic
- Phone
- (352) 492-9333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3990 E St 44 Suite 207
E SR44 Suite 207
Wildwood, FL 34785
Mailing address
3990 E Sr 44 Ste 207
Wildwood, FL 34785-7482
Phone (352) 492-9333
Other names 2
- Village Discount Pharmacy LLC
- Village Discount pharmacy
National Provider Directory
National Provider DirectoryLocations
3990 E State Road 44
Ste 207
Wildwood, FL 34785
Phone (352) 492-9333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wildwood, FL
- NPI 1003474453
-
- Pharmacy
- Wildwood, FL
- NPI 1821652959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1174006399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 E SR 44 STE 207",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857482",
"telephone_number": "352-492-9333",
"fax_number": "352-399-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 E ST 44 SUITE 207",
"address_2": "E SR44 SUITE 207",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "34785",
"telephone_number": "407-492-3041",
"fax_number": "352-399-6234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE DISCOUNT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "OMAR",
"authorized_official_first_name": "GAMAL",
"authorized_official_middle_name": "ABOUELWAFA",
"authorized_official_title_or_position": "OWNER /PIC",
"authorized_official_telephone_number": "352-492-9333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Discount Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Village Discount pharmacy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.