Individual provider Active NPI

Quanle Pham Yoakum, PHARMD.

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1568708550
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49277 Issued in FL
Practice address
1219 E Colonial Dr
Orlando, FL 32803-4701
Phone
(407) 929-9662
NPI assigned
Dec 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49277 FL Primary

Addresses

Primary practice location

1219 E Colonial Dr
Orlando, FL 32803-4701

Mailing address

1219 E. Colonial Drive
Orlando, FL 32825-5531
Phone (407) 929-9662

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

LicenseStateTypeSpecialty
PS49277FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central FL Pharmacy Corp. Past Accepting new patients
Central FL Pharmacy Corp 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1568708550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E. COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255531",
            "telephone_number": "407-929-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034701",
            "telephone_number": "407-929-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOAKUM",
        "first_name": "QUANLE",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.