Active NPI
Eddie NMN McCorvey Jr., PHARM.D
- Pharmacist
- Key Largo, FL
National Provider Identifier
1447454483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 15158
- Practice address
- 99434 Overseas Hwy
Key Largo, FL 33037-2459 - Phone
- (305) 451-3261
- NPI assigned
- Jun 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS 15158 | FL | Primary |
Addresses
Primary practice location
99434 Overseas Hwy
Key Largo, FL 33037-2459
Mailing address
1671 SW 159TH Ave
Pembroke Pines, FL 33027-2343
Phone (954) 430-7321
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 15158 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447454483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 SW 159TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330272343",
"telephone_number": "954-430-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99434 OVERSEAS HWY",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330372459",
"telephone_number": "305-451-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORVEY",
"first_name": "EDDIE",
"middle_name": "NMN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 15158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.