Martin U Muforo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS64901 Issued in FL

Practice address

748 Beal Pkwy NW
Fort Walton Beach, FL 32547-3002

Phone

(850) 863-2204

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1750008504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PATRIOT LN APT 228",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397404",
            "telephone_number": "813-340-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473002",
            "telephone_number": "850-863-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFORO",
        "first_name": "MARTIN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS64901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Morscher
• Theresa Ann Morvay
• Charles Harrelson Moss III, CRNP
• Gary William Mousseau, PA-C
• Beverlee K Mueller, LMHC
• Freddie Nicholus Muir, R.PH.
• Teresia M. Mullen, LMHC
• Luisa Silvia Munoz-Price, M.D., PHD
• Bryce Munz
• Hani Haider Murad, MD

• Pharmacist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.