Samer Faragalla

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS55814 Issued in FL

Practice address

2600 SW 19TH Ave Rd
Ocala, FL 34471

Phone

(352) 237-7103

NPI assigned

Oct 31, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1790385383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19249 LONG LAKE RANCH BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "727-331-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW 19TH AVE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-237-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Bahia Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344722213",
            "country_code": "US",
            "telephone_number": "352-537-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAGALLA",
        "first_name": "SAMER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine of Ocala, PLLC
• Family Relationship Solutions LLC
• Chih Feng John Fang, DDS
• Alane Fantasia
• Kimberli Fanucci
• Peter M Farahat, DMD
• Mark A Faris
• Wagdi Faris, MD
• Christopher Scott Farley, CPT
• Barbara Maxine Farmer, MA

• Pharmacist in Ocala, FL
• Providers in Ocala, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.