Active NPI
Jamal M Taha
- Pharmacist
- Orlando, FL
National Provider Identifier
1194096487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23328
- Practice address
- 5211 S. Conway Road
Orlando, FL 32812 - Phone
- (407) 812-8770
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | PS23328 | FL | Primary |
Addresses
Primary practice location
5211 S. Conway Road
Orlando, FL 32812
Mailing address
6063 Lake Melrose Drive
Orlando, FL 32829
Phone (407) 590-9265
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 |
|---|---|---|---|
| PS23328 | 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": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1194096487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6063 LAKE MELROSE DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32829",
"telephone_number": "407-590-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 S. CONWAY ROAD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32812",
"telephone_number": "407-812-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHA",
"first_name": "JAMAL",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS23328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.