Active NPI
Marian Barsoum, RPH
- Pharmacist
- Titusville, FL
National Provider Identifier
1891139192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49227
- Practice address
- 2935 Garden St
Titusville, FL 32796-3050 - Phone
- (321) 267-0249
- NPI assigned
- Apr 17, 2013
- Last updated
- Sep 15, 2020
- Sex
- Female
- 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 | PS49227 | FL | Primary |
Addresses
Primary practice location
2935 Garden St
Titusville, FL 32796-3050
Mailing address
13800 Veterans Way FL 32827
Orlando, FL 32827-7401
Phone (407) 631-2803
Other practice location 1
13800 Veterans Way Fl 32827
Orlando, FL 32827-7401
Phone (407) 631-2803
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49227 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1891139192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY FL 32827",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "407-631-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 GARDEN ST",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963050",
"telephone_number": "321-267-0249"
}
],
"practiceLocations": [
{
"address_1": "13800 Veterans Way Fl 32827",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277401",
"country_code": "US",
"telephone_number": "407-631-2803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARSOUM",
"first_name": "MARIAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.