Organization Active NPI

Semoran Pharmacy Inc

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1740533405
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS39254 Issued in FL
Legal business name
SEMORAN PHARMACY INC
Practice address
601 S Semoran Blvd
Orlando, FL 32807-3120
Phone
(407) 283-4014
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Genevieve U Ewulum, B.PHARM
Title
Pharmacist
Phone
(727) 688-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS39254 FL Primary

Addresses

Primary practice location

601 S Semoran Blvd
Orlando, FL 32807-3120

Mailing address

PO Box 782070
Orlando, FL 32878-2070

National Provider Directory

National Provider Directory

Locations

601 S Semoran Blvd
Orlando, FL 32807
Phone (321) 368-2172

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1740533405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782070",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328782070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073120",
            "telephone_number": "407-283-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMORAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "EWULUM",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "727-688-4754",
        "authorized_official_credential": "B.PHARM"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.