Julia Kah Fombi

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS63694 Issued in FL

Practice address

4478 Tamiami TRL
Port Charlotte, FL 33980-2931

Phone

(941) 235-1120

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS, L.L.C.

  • Pharmacy
  • Port Charlotte, FL
  • NPI 1639407596
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1861110561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FALLS OF VENICE CIR APT 201",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923950",
            "telephone_number": "302-563-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4478 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802931",
            "telephone_number": "941-235-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBI",
        "first_name": "JULIA",
        "middle_name": "KAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fluskey
• Nicholas James Flynn, A.T.C.
• Valeria Fogel, PHARM D
• Lisa Ann Foley, CNP
• Tesharia Folkes, LCSW
• Theodore John Fonfara, HAS
• Foot & Ankle Center of Florida LLC
• Anisley Forjan Bravo
• Four Magnolias LLC.
• Michele Lorraine Fowler, PHARM D

• Pharmacist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.