Florida Kerelos LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25886 Issued in FL

Legal business name

FLORIDA KERELOS LLC

Doing business as

Embassy Pharmacy

Practice address

9320 US Highway 19
Port Richey, FL 34668-4772

Phone

(727) 842-3400

Fax

(727) 842-3800

NPI assigned

Jan 18, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nashaat Boutros

Title

RPH

Phone

(727) 842-3400

Specialties & licenses 1

Addresses

Other names 1

• EMBASSY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1215208616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 CRYSTAL CIR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982409",
            "telephone_number": "727-331-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684772",
            "telephone_number": "727-842-3400",
            "fax_number": "727-842-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KERELOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "NASHAAT",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "727-842-3400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMBASSY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Michelle Fisher, FNP-C
• Alejandro Flores Dominguez
• Florida Arthritis & Osteoporosis Center P a
• Florida Community Behavioral Care Inc
• Florida Eye Wellness LLC (Florida Eye Wellness Vision Care Center)
• Michael Patrick Flynn, PHARMD
• John Anthony Forcella Jr., D.O.
• Malcolm Colburn Foster, M.D.
• Foundational Futures ABA
• Gerardo Frias

• Community/Retail Pharmacy in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Community/Retail Pharmacy in Florida

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

Verify at the official NPI Registry.