Edr Group Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH24470 Issued in FL

Legal business name

EDR GROUP INC

Doing business as

pr pharmacy healthmart

Practice address

10806 US Highway 19
Ste 105
Port Richey, FL 34668-2563

Phone

(727) 868-4040

Fax

(727) 868-4077

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Ezzat Atalla

Title

Pharmacist/Owner

Phone

(727) 868-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pr pharmacy healthmart Doing business as

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1396067385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 US HIGHWAY 19",
            "address_2": "STE 105",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682563",
            "telephone_number": "727-868-4040",
            "fax_number": "727-868-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 US HIGHWAY 19",
            "address_2": "STE 105",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682563",
            "telephone_number": "727-868-4040",
            "fax_number": "727-868-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDR GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "ATALLA",
        "authorized_official_first_name": "EZZAT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "727-868-4040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1054395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pr pharmacy healthmart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.