Active NPI
Akm Mustafa Kamal
- Pharmacist
- Cape Coral, FL
National Provider Identifier
1659419133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37308
- Practice address
- 1003 Santa Barbara Blvd
Cape Coral, FL 33991-2852 - Phone
- (239) 772-4000
- Fax
- (239) 772-9135
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PS37308 | FL | Primary |
Addresses
Primary practice location
1003 Santa Barbara Blvd
Cape Coral, FL 33991-2852
Mailing address
11513 Centaur Way
Lehigh Acres, FL 33971-3767
Phone (239) 939-7191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37308 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659419133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11513 CENTAUR WAY",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339713767",
"telephone_number": "239-939-7191",
"fax_number": "239-772-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 SANTA BARBARA BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339912852",
"telephone_number": "239-772-4000",
"fax_number": "239-772-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAL",
"first_name": "AKM",
"middle_name": "MUSTAFA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.