Basil Itani, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS34835 Issued in FL

Practice address

2507 Garden St
Titusville, FL 32796-4612

Phone

(321) 269-7772

Fax

(321) 269-7718

NPI assigned

Dec 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Itani Family Pharmacy PLC

  • Community/Retail Pharmacy
  • Titusville, FL
  • NPI 1235415662
  NPD (past) Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1588934012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964612",
            "telephone_number": "321-269-7772",
            "fax_number": "321-269-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964612",
            "telephone_number": "321-269-7772",
            "fax_number": "321-269-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANI",
        "first_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Ingram, COTA
• Jorge R. Insignares, M.D.
• Integrity Specialized Transportation LLC
• Isabella Renee Islas
• Itani Family Pharmacy PLC
• Nabil S Itani, DO
• Donna G Ivery, MD
• Elizabeth Jacobs
• Jacqueline E. Zermeno O.D., P.a.
• Jad Family Pharmacy LLC

• Pharmacist in Titusville, FL
• Providers in Titusville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.