Nancy Samir Awad
Individual provider Active NPI Pharmacist · Trinity, FL
NPI 1699304246 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1699304246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS60331 (FL)
- Practice address
- 10900 State Road 54 Ste 102
Trinity, FL 34655-2267 - Phone
- (727) 312-4384
- Fax
- (727) 312-4605
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS60331 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS60331 | FL | Yes |
Addresses
Primary practice location
10900 State Road 54 Ste 102
Trinity, FL 34655-2267
Mailing address
10900 State Road 54 Ste 102
Trinity, FL 34655-2267
Phone (727) 312-4384
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.