NPIMap

Organization Active NPI

Knight Aide

  • Pharmacy
  • Orlando, FL
National Provider Identifier
1245415801
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH23039 Issued in FL
Legal business name
KNIGHT AIDE
Doing business as
Knight Aide
Practice address
4000 Central Florida Blvd
BLDG 137 Ste K
Orlando, FL 32816-8005
Phone
(407) 882-0600
Fax
(407) 882-0603
NPI assigned
Jan 2, 2008
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Sheryl Gamble, RPH
Title
Phcy Director
Phone
(407) 823-6084

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH23039 FL Primary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

4000 Central Florida Blvd
BLDG 137 Ste K
Orlando, FL 32816-8005

Mailing address

4000 Central Florida Blvd
BLDG 137 Ste K
Orlando, FL 32816-8005
Phone (407) 882-0600

Other identifiers 2

IdentifierTypeStateIssuer
2010262OtherPK
008835500MedicaidFL

Other names 1

  • KNIGHT AIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ucf Center for Autism and Related Disabilities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Central Florida Blvd
Bldg 137
Orlando, FL 32816
Phone (407) 882-0600

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1245415801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CENTRAL FLORIDA BLVD",
            "address_2": "BLDG 137 STE K",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168005",
            "telephone_number": "407-882-0600",
            "fax_number": "407-882-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CENTRAL FLORIDA BLVD",
            "address_2": "BLDG 137 STE K",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168005",
            "telephone_number": "407-882-0600",
            "fax_number": "407-882-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT AIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "PHCY DIRECTOR",
        "authorized_official_telephone_number": "407-823-6084",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH23039",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010262",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008835500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNIGHT AIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2016; 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.