Active NPI
Marina Tharwat Girgis, MTG
- Pharmacist
- Odessa, FL
National Provider Identifier
1396535712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS67766
- Practice address
- 12934 Payton St
Odessa, FL 33556-2717 - Phone
- (615) 243-5418
- NPI assigned
- May 8, 2025
- Sex
- Female
- 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 | PS67766 | FL | Primary |
Addresses
Primary practice location
12934 Payton St
Odessa, FL 33556-2717
Mailing address
12934 Payton St
Odessa, FL 33556-2717
Phone (615) 243-5418
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS67766 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1396535712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12934 PAYTON ST",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562717",
"telephone_number": "615-243-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12934 PAYTON ST",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562717",
"telephone_number": "615-243-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRGIS",
"first_name": "MARINA",
"middle_name": "THARWAT",
"credential": "MTG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS67766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.