Active NPI
Fadi Salem, RPH
- Pharmacist
- Valrico, FL
National Provider Identifier
1538671136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36054
- Practice address
- 2109 E State Road 60
Valrico, FL 33594-3702 - Phone
- (813) 684-0583
- NPI assigned
- Nov 4, 2017
- 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 | PS36054 | FL | Primary |
Addresses
Primary practice location
2109 E State Road 60
Valrico, FL 33594-3702
Mailing address
6107 Vireoridge Dr
Lithia, FL 33547-4815
Phone (813) 966-0046
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36054 | 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": "1509753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509753600000",
"number": "1538671136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6107 VIREORIDGE DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474815",
"telephone_number": "813-966-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 E STATE ROAD 60",
"city": "VALRICO",
"state": "FL",
"postal_code": "335943702",
"telephone_number": "813-684-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "FADI",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-04",
"last_updated": "2017-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.