Individual provider Active NPI

Eddy Aoun

  • Pharmacist
  • Naples, FL
National Provider Identifier
1295109320
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS53508 Issued in FL
Practice address
2415 Tarpon Bay Blvd
Naples, FL 34119-8764
Phone
(239) 552-1100
NPI assigned
Dec 1, 2015
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS53508 FL Primary

Addresses

Primary practice location

2415 Tarpon Bay Blvd
Naples, FL 34119-8764

Mailing address

9170 Daniels Pkwy
Fort Myers, FL 33912-1815
Phone (305) 213-4581

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Notapplicable
Other URL Notapplicable

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

LicenseStateTypeSpecialty
PS53508FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cet Pharmacy Grand Rapids LLC Current Accepting new patients
MHP Pharmacy Wayne LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1295109320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 DANIELS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121815",
            "telephone_number": "305-213-4581",
            "fax_number": "888-422-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 TARPON BAY BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198764",
            "telephone_number": "239-552-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AOUN",
        "first_name": "EDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Notapplicable",
            "affiliation": "N",
            "address_1": "2415 Tarpon Bay Blvd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341198764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Notapplicable",
            "affiliation": "N",
            "address_1": "2415 Tarpon Bay Blvd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341198764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.