Individual provider Active NPI

Moulaye Idrissa Kone, PHARM. D

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1174929913
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49211 Issued in FL
Practice address
7095 W Waters Ave
Tampa, FL 33634-2291
Phone
(813) 884-4884
Fax
(813) 886-1690
NPI assigned
Nov 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49211 FL Primary

Addresses

Primary practice location

7095 W Waters Ave
Tampa, FL 33634-2291

Mailing address

7095 W Waters Ave
Tampa, FL 33634-2291
Phone (813) 884-4884

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS49211FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1174929913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342291",
            "telephone_number": "813-884-4884",
            "fax_number": "813-886-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342291",
            "telephone_number": "813-884-4884",
            "fax_number": "813-886-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONE",
        "first_name": "MOULAYE",
        "middle_name": "IDRISSA",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49211",
            "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 Nov 5, 2014; 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.