Active NPI
Mina Atanasious
- Pharmacist
- Winter Park, FL
National Provider Identifier
1780280818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42848
- Practice address
- 1510 State Road 436
Winter Park, FL 32792-1502 - Phone
- (407) 657-7960
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS42848 | FL | Primary |
Addresses
Primary practice location
1510 State Road 436
Winter Park, FL 32792-1502
Mailing address
1510 State Road 436
Winter Park, FL 32792-1502
Phone (407) 657-7960
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS42848 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1780280818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 STATE ROAD 436",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921502",
"telephone_number": "407-657-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 STATE ROAD 436",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921502",
"telephone_number": "407-657-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATANASIOUS",
"first_name": "MINA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.