NPIMap

Organization Active NPI

Florida a&M University

  • Community/Retail Pharmacy
  • Tallahassee, FL
National Provider Identifier
1497282263
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17732 Issued in FL
Legal business name
FLORIDA A&M UNIVERSITY
Practice address
872 W Orange Ave
Tallahassee, FL 32310-6123
Phone
(850) 606-8250
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Jovan D Miles, PHARMD
Title
HIV Residency Director
Phone
(850) 599-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH17732 FL Primary

Addresses

Primary practice location

872 W Orange Ave
Tallahassee, FL 32310-6123

Mailing address

872 W Orange Ave
Tallahassee, FL 32310-6123
Phone (850) 606-8250

National Provider Directory

National Provider Directory
Tax ID family
Florida Am University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1497282263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 W ORANGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323106123",
            "telephone_number": "850-606-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 W ORANGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323106123",
            "telephone_number": "850-606-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA A&M UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HIV RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "850-599-8656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH17732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.