Individual provider Active NPI

Maged Ahmed Abdel Raouf Metwally

  • Pharmacist
  • Port Orange, FL
National Provider Identifier
1366350225
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66859 Issued in FL
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.