Active NPI
Joseph Moncayo, PHARMD.
- Pharmacist
- Coral Springs, FL
National Provider Identifier
1891982666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202216425
- Practice address
- 4351 NW 102ND Ter
Coral Springs, FL 33065-2377 - Phone
- (954) 604-6250
- NPI assigned
- Sep 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS40386 | FL | |
| Pharmacist | 183500000X | 0202216425 | VA | Primary |
Addresses
Primary practice location
4351 NW 102ND Ter
Coral Springs, FL 33065-2377
Mailing address
4351 NW 102ND Ter
Coral Springs, FL 33065-2377
Phone (954) 604-6250
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 |
|---|---|---|---|
| PS40386 | FL | MD | Pharmacist |
| 0202216425 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1891982666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 NW 102ND TER",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330652377",
"telephone_number": "954-604-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 NW 102ND TER",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330652377",
"telephone_number": "954-604-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCAYO",
"first_name": "JOSEPH",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40386",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.