Individual provider Active NPI

Hoang P Mach, RPH

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1780805267
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS30696 Issued in FL
Practice address
1401 S Hiawassee Rd
Orlando, FL 32835-5715
Phone
(407) 295-2333
Fax
(407) 578-7100
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30696 FL Primary

Addresses

Primary practice location

1401 S Hiawassee Rd
Orlando, FL 32835-5715

Mailing address

1401 S Hiawassee Rd
Orlando, FL 32835-5715
Phone (407) 295-2333

Other identifiers 4

IdentifierTypeStateIssuer
106088100MedicaidFL
108067OtherFLNABP
1528089836OtherFLSTORE NPI
PS30696OtherFLPHARMACY LICENSE NO.

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

LicenseStateTypeSpecialty
PS30696FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1780805267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355715",
            "telephone_number": "407-295-2333",
            "fax_number": "407-578-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355715",
            "telephone_number": "407-295-2333",
            "fax_number": "407-578-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACH",
        "first_name": "HOANG",
        "middle_name": "P",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106088100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "108067",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1528089836",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NO.",
            "identifier": "PS30696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.