Active NPI
William Graybeal, PHARM.D.
- Nutrition Support Pharmacist
- Altamonte Springs, FL
National Provider Identifier
1528304151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- PS 22847
- Practice address
- 376 Northlake Blvd
Suite 1008
Altamonte Springs, FL 32701-5261 - Phone
- (407) 830-8820
- Fax
- (407) 830-1984
- NPI assigned
- Dec 31, 2012
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | PS 22847 | FL | Primary |
Addresses
Primary practice location
376 Northlake Blvd
Suite 1008
Altamonte Springs, FL 32701-5261
Mailing address
376 Northlake Blvd
Suite 1008
Altamonte Springs, FL 32701-5261
Phone (407) 830-8820
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 22847 | FL | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1528304151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 NORTHLAKE BLVD",
"address_2": "SUITE 1008",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015261",
"telephone_number": "407-830-8820",
"fax_number": "407-830-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 NORTHLAKE BLVD",
"address_2": "SUITE 1008",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015261",
"telephone_number": "407-830-8820",
"fax_number": "407-830-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYBEAL",
"first_name": "WILLIAM",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-31",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "FL",
"license": "PS 22847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.