Niraj Amin, RPH

Individual provider Active NPI Pharmacist · Windermere, FL

NPI 1598046542 · NPPES record last updated Sep 5, 2011

Key facts

NPI
1598046542
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS0036341 (FL)
Practice address
1052 Lascala Dr
Windermere, FL 34786-6023
Phone
(352) 241-9109
Fax
(352) 241-9639
NPI assigned
Sep 5, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
PS0036341FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Healthcare Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0036341 FL Yes

Addresses

Primary practice location

1052 Lascala Dr
Windermere, FL 34786-6023

Mailing address

701 E State Road 50
Clermont, FL 34711-3165
Phone (352) 241-9109

Other providers in Windermere, FL

All providers in Windermere, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.