MD Khorshed Anwar
Individual provider Active NPI Pharmacist · Tavares, FL
NPI 1770820540 · NPPES record last updated Jan 13, 2013
Key facts
- NPI
- 1770820540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS38483 (FL)
- Practice address
- 524 S Duncan Dr
Tavares, FL 32778-4146 - Phone
- (352) 508-6449
- NPI assigned
- Jan 13, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38483 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keyona LLC | Current | Accepting new patients | |
| Tavares Pharmacy LLC | Past |
Accepting new patients | |
| Tavares Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38483 | FL | Yes |
Addresses
Primary practice location
524 S Duncan Dr
Tavares, FL 32778-4146
Mailing address
524 S Duncan Dr
Tavares, FL 32778-4146
Phone (352) 508-6449
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.