Active NPI
Omprakash Boga
- Pharmacist
- Winter Park, FL
National Provider Identifier
1437755626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41040
- Practice address
- 483 N Semoran Blvd Ste 109
Winter Park, FL 32792-3800 - Phone
- (407) 790-4509
- NPI assigned
- Dec 11, 2020
- 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 | PS41040 | FL | Primary |
Addresses
Primary practice location
483 N Semoran Blvd Ste 109
Winter Park, FL 32792-3800
Mailing address
483 N Semoran Blvd Ste 109
Winter Park, FL 32792-3800
Phone (407) 790-4509
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 |
|---|---|---|---|
| PS41040 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX-Mart Pharmacy LLC | Current | Accepting new patients | |
| Guardian Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1437755626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD STE 109",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-790-4509",
"fax_number": "407-790-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD STE 109",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-790-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGA",
"first_name": "OMPRAKASH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.