Active NPI
Gerald Sheldon Mosak, RPH
- Pharmacist
- Dade City, FL
National Provider Identifier
1316219744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 34530
- Practice address
- 12807 US Highway 301
Dade City, FL 33525-5812 - Phone
- (352) 567-9606
- NPI assigned
- Feb 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 34530 | FL | Primary |
Addresses
Primary practice location
12807 US Highway 301
Dade City, FL 33525-5812
Mailing address
15806 Fenton Place
Hampton Lakes
Tampa, FL 33618
Phone (813) 269-2136
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 34530 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1316219744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15806 FENTON PLACE",
"address_2": "HAMPTON LAKES",
"city": "TAMPA",
"state": "FL",
"postal_code": "33618",
"telephone_number": "813-269-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12807 US HIGHWAY 301",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255812",
"telephone_number": "352-567-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSAK",
"first_name": "GERALD",
"middle_name": "SHELDON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 34530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.