Active NPI
Maged Ahmed Abdel Raouf Metwally
- Pharmacist
- Port Orange, FL
National Provider Identifier
1366350225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66859
- Practice address
- 1185 Dunlawton Ave Ste 105
Port Orange, FL 32127-2908 - Phone
- (386) 425-4750
- NPI assigned
- Aug 31, 2026
- 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 | 66859 | FL | Primary |
Addresses
Primary practice location
1185 Dunlawton Ave Ste 105
Port Orange, FL 32127-2908
Mailing address
1401 Reed Canal Rd Unit 17202
Port Orange, FL 32129-9491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1366350225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 REED CANAL RD UNIT 17202",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321299491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 DUNLAWTON AVE STE 105",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272908",
"telephone_number": "386-425-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METWALLY",
"first_name": "MAGED",
"middle_name": "AHMED ABDEL RAOUF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "66859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.