Arif Azim Abass Jr., PHARM.D.
Individual provider Active NPI Pharmacist · Orlando, FL
NPI 1356064091 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1356064091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P10308 (ID)
- Practice address
- 13800 Veterans Way
Orlando, FL 32827-7401 - Phone
- (407) 631-2869
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10308 | ID | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10308 | ID | Yes |
Addresses
Primary practice location
13800 Veterans Way
Orlando, FL 32827-7401
Mailing address
9131 Lake Avon Dr
Orlando, FL 32829-8835
Phone (407) 360-1500
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.