Individual provider Active NPI

Michael Compolongo, PHARM.D.

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1336685486
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54978 Issued in FL
Practice address
9400 Turkey Lake Rd
DPH Scripts Pharmacy
Orlando, FL 32819-8001
Phone
(321) 842-7230
NPI assigned
Jan 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54978 FL Primary

Addresses

Primary practice location

9400 Turkey Lake Rd
DPH Scripts Pharmacy
Orlando, FL 32819-8001

Mailing address

9400 Turkey Lake Rd
DPH Scripts Pharmacy
Orlando, FL 32819-8001
Phone (321) 842-7230

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS54978FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1336685486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 TURKEY LAKE RD",
            "address_2": "DPH SCRIPTS PHARMACY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198001",
            "telephone_number": "321-842-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 TURKEY LAKE RD",
            "address_2": "DPH SCRIPTS PHARMACY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198001",
            "telephone_number": "321-842-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPOLONGO",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 12, 2017; 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.