Active NPI
Ngozi Muo, PHARMACIST
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1205107349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35213
- Practice address
- 875 9TH St N
St Petersburg, FL 33701-2103 - Phone
- (727) 821-3369
- NPI assigned
- Jan 20, 2012
- Last updated
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | PS35213 | FL | Primary |
Addresses
Primary practice location
875 9TH St N
St Petersburg, FL 33701-2103
Mailing address
8201 Riverside Dr NE
St Petersburg, FL 33702-3801
Phone (727) 578-0863
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 |
|---|---|---|---|
| PS35213 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1205107349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 RIVERSIDE DR NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337023801",
"telephone_number": "727-578-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 9TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012103",
"telephone_number": "727-821-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUO",
"first_name": "NGOZI",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.