NPIMap

Organization Active NPI

Itani Family Pharmacy PLC

  • Community/Retail Pharmacy
  • Titusville, FL
National Provider Identifier
1235415662
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25723 Issued in FL
Legal business name
ITANI FAMILY PHARMACY PLC
Practice address
2507 Garden St
Titusville, FL 32796-4612
Phone
(321) 269-7772
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Basil Itani, PHARMDNPI 1588934012
Title
Owner
Phone
(321) 269-7772

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25723 FL Primary

Addresses

Primary practice location

2507 Garden St
Titusville, FL 32796-4612

Mailing address

2507 Garden St
Titusville, FL 32796-4612
Phone (321) 269-7772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1235415662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964612",
            "telephone_number": "321-269-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964612",
            "telephone_number": "321-269-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITANI FAMILY PHARMACY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "ITANI",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-269-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.