Individual provider Active NPI

Juan Naranjo, PHARMD

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1871147587
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59552 Issued in FL
Practice address
10015 N Dale Mabry Hwy
Tampa, FL 33618-4409
Phone
(813) 392-4207
NPI assigned
Jul 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59552 FL Primary

Addresses

Primary practice location

10015 N Dale Mabry Hwy
Tampa, FL 33618-4409

Mailing address

10223 Palermo Cir Apt 103
Tampa, FL 33619-5088
Phone (305) 610-1954

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL EnterpriseRx
CONNECT URL EnterpriseRx
CONNECT URL EnterpriseRx
CONNECT URL EnterpriseRx

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

LicenseStateTypeSpecialty
PS59552FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1871147587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 PALERMO CIR APT 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195088",
            "telephone_number": "305-610-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184409",
            "telephone_number": "813-392-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "JUAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EnterpriseRx",
            "affiliation": "N",
            "address_1": "10015 N Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336184409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EnterpriseRx",
            "affiliation": "N",
            "address_1": "10015 N Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336184409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EnterpriseRx",
            "affiliation": "N",
            "address_1": "10015 N Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336184409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EnterpriseRx",
            "affiliation": "N",
            "address_1": "10015 N Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336184409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.