Active NPI
Emad Y Yacoub, RPH
- Pharmacist
- Longwood, FL
National Provider Identifier
1730426693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38338
- Practice address
- 2660 W State Road 434
Longwood, FL 32779-4400 - Phone
- (407) 960-4246
- NPI assigned
- Jan 12, 2013
- Last updated
- Aug 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023091 | GA | |
| Pharmacist | 183500000X | PS38338 | FL | Primary |
Addresses
Primary practice location
2660 W State Road 434
Longwood, FL 32779-4400
Mailing address
2660 W State Road 434
Longwood, FL 32779-4400
Phone (407) 960-4246
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 |
|---|---|---|---|
| PS38338 | FL | MD | Pharmacist |
| RPH023091 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy & John LLC | Current | Accepting new patients |
Locations
2660 W State Road 434
Longwood, FL 32779
Phone (407) 244-0755
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1730426693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794400",
"telephone_number": "407-960-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794400",
"telephone_number": "407-960-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOUB",
"first_name": "EMAD",
"middle_name": "Y",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-12",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023091",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.