Joseph Patrick McMullen, RPH
Individual provider Active NPI Pharmacist · Oakland, FL
NPI 1528192523 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528192523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS28801 (FL)
- Practice address
- 201 Largovista Dr
Oakland, FL 34787-8981 - Phone
- (407) 877-5967
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28801 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS28801 | FL | Yes |
Addresses
Primary practice location
201 Largovista Dr
Oakland, FL 34787-8981
Mailing address
201 Largovista Dr
Oakland, FL 34787-8981
Phone (407) 877-5967
Other providers in Oakland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.