Active NPI
Semoran Pharmacy Inc
- Pharmacist
- Orlando, FL
National Provider Identifier
1740533405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39254
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 DirectoryLocations
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.