Medical Arts Prescription Shop

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH15515 Issued in FL

Legal business name

MEDICAL ARTS PRESCRIPTION SHOP

Doing business as

Medical Arts Prescription Shop

Practice address

2021 S Orange Ave
Orlando, FL 32806-3035

Phone

(407) 422-8104

Fax

(407) 422-8105

NPI assigned

Jul 30, 2006

Last updated

Jul 14, 2009By 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

Amal Hegazy, RPH

Title

Pharmacist

Phone

(407) 422-8104

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAL ARTS PRESCRIPTION SHOP Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1275548885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S HUNT CLUB BLVD",
            "address_2": "STE 350",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034960",
            "telephone_number": "407-422-8104",
            "fax_number": "407-422-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063035",
            "telephone_number": "407-422-8104",
            "fax_number": "407-422-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PRESCRIPTION SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "HEGAZY",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "407-422-8104",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH15515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106172100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1018250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, 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 14, 2009; 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.