Active NPI
Damion Wayne Murphy, RPH.
- Pharmacist
- Wilton Manors, FL
National Provider Identifier
1639417710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS30785
- Practice address
- 1150 NE 26TH St
Wilton Manors, FL 33305-1245 - Phone
- (954) 565-7474
- NPI assigned
- Jan 23, 2013
- Reactivated
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS30785 | FL | Primary |
Addresses
Primary practice location
1150 NE 26TH St
Wilton Manors, FL 33305-1245
Mailing address
1150 NE 26TH St
Wilton Manors, FL 33305-1245
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 |
|---|---|---|---|
| PS30785 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1639417710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NE 26TH ST",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NE 26TH ST",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051245",
"telephone_number": "954-565-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "DAMION",
"middle_name": "WAYNE",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"deactivation_date": "2014-02-28",
"reactivation_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS30785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.