Individual provider Active NPI

Mariana M Nasralla, RPH

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1609479088
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS46079 Issued in FL
Practice address
9600 Parksouth CT
Orlando, FL 32837-6424
Phone
(877) 453-4566
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS46079 FL Primary

Addresses

Primary practice location

9600 Parksouth CT
Orlando, FL 32837-6424

Mailing address

9600 Parksouth CT
Orlando, FL 32837-6424
Phone (877) 453-4566

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

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

LicenseStateTypeSpecialty
PS46079FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1609479088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 PARKSOUTH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376424",
            "telephone_number": "877-453-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PARKSOUTH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376424",
            "telephone_number": "877-453-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRALLA",
        "first_name": "MARIANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "9600 Parksouth Ct",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 18, 2020; 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.