Active NPI
John Yassa
- Pharmacist
- Spring Hill, FL
National Provider Identifier
1245821925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61954
- Practice address
- 11001 Spring Hill Dr
Spring Hill, FL 34608-5052 - Phone
- (727) 808-6821
- NPI assigned
- Jan 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT79770 | FL | |
| Pharmacist | 183500000X | PS61954 | FL | Primary |
Addresses
Primary practice location
11001 Spring Hill Dr
Spring Hill, FL 34608-5052
Mailing address
11001 Spring Hill Dr
Spring Hill, FL 34608-5052
Phone (727) 808-6821
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 |
|---|---|---|---|
| PS61954 | FL | MD | Pharmacist |
| RPT79770 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1245821925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346085052",
"telephone_number": "727-808-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346085052",
"telephone_number": "727-808-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSA",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-27",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT79770",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.