Individual provider Active NPI

John Helmy Hanna Neamatalla, PHARM D

  • Pharmacist
  • Pace, FL
National Provider Identifier
1730722364
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS44224 Issued in FL
Practice address
4965 Highway 90
Pace, FL 32571-1408
Phone
(850) 995-5115
NPI assigned
Oct 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16653 AL
Pharmacist 183500000X 28RI03318200 NJ
Pharmacist 183500000X 19135080552 MI
Pharmacist 183500000X PS44224 FL Primary

Addresses

Primary practice location

4965 Highway 90
Pace, FL 32571-1408

Mailing address

3883 Elevator CT
Pace, FL 32571-6418
Phone (609) 424-8434

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16653ALMDPharmacist
PS44224FLMDPharmacist
19135080552MIMDPharmacist
28RI03318200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1730722364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 ELEVATOR CT",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716418",
            "telephone_number": "609-424-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711408",
            "telephone_number": "850-995-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAMATALLA",
        "first_name": "JOHN",
        "middle_name": "HELMY HANNA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16653",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03318200",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "19135080552",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.