Active NPI
John Mamott, PHARMD
- Pharmacist
- Orlando, FL
National Provider Identifier
1861739815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44917
- Practice address
- 10115 University Blvd
Orlando, FL 32817-1904 - Phone
- (407) 673-1749
- Fax
- (407) 673-4637
- NPI assigned
- Jan 10, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 44917 | FL | Primary |
Addresses
Primary practice location
10115 University Blvd
Orlando, FL 32817-1904
Mailing address
10115 University Blvd
Orlando, FL 32817-1904
Phone (407) 673-1749
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44917 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1861739815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171904",
"telephone_number": "407-673-1749",
"fax_number": "407-673-4637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171904",
"telephone_number": "407-673-1749",
"fax_number": "407-673-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMOTT",
"first_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "44917",
"primary": true
}
],
"identifiers": [],
"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 Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.