Active NPI
Effat Aziz Estafanous, RPH
- Pharmacist
- Largo, FL
National Provider Identifier
1770808727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46016
- Practice address
- 1290 W Bay Dr
Largo, FL 33770-2204 - Phone
- (551) 221-5671
- NPI assigned
- Apr 1, 2010
- Last updated
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS46016 | FL | Primary |
Addresses
Primary practice location
1290 W Bay Dr
Largo, FL 33770-2204
Mailing address
627 Avenue E
Apt # 2
Bayonne, NJ 07002-4835
Phone (551) 221-5671
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46016 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1770808727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 AVENUE E",
"address_2": "APT # 2",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024835",
"telephone_number": "551-221-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 W BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337702204",
"telephone_number": "551-221-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTAFANOUS",
"first_name": "EFFAT",
"middle_name": "AZIZ",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.