Individual provider Active NPI

Ramy Malak

  • Pharmacist
  • Orange City, FL
National Provider Identifier
1750672085
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS39900 Issued in FL
Practice address
870 Saxon Blvd Ste 45
Orange City, FL 32763-8209
Phone
(386) 218-0926
Fax
(386) 218-0927
NPI assigned
Apr 20, 2011
Last updated
May 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS39900 FL Primary

Addresses

Primary practice location

870 Saxon Blvd Ste 45
Orange City, FL 32763-8209

Mailing address

256 Bayberry Lakes Blvd
Daytona Beach, FL 32124-3619

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

State licenses

LicenseStateTypeSpecialty
PS39900FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HR RX LLC Current Accepting new patients
Daytona Specialty LLC Current Accepting new patients

Locations

870 Saxon Blvd
Ste 45
Orange City, FL 32763
Phone (386) 218-0926

Organizations & group practices 2

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1750672085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BAYBERRY LAKES BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SAXON BLVD STE 45",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638209",
            "telephone_number": "386-218-0926",
            "fax_number": "386-218-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "RAMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.