Individual provider Active NPI

Niyousha Elmi, PHARMD

  • Pharmacist
  • Oviedo, FL
National Provider Identifier
1902572431
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS62939 Issued in FL
Practice address
2871 Clayton Crossing Way
Oviedo, FL 32765-3426
Phone
(407) 673-2317
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS62939 FL Primary

Addresses

Primary practice location

2871 Clayton Crossing Way
Oviedo, FL 32765-3426

Mailing address

2871 Clayton Crossing Way
Oviedo, FL 32765-3426
Phone (407) 673-2317

Other identifiers 1

IdentifierTypeStateIssuer
PS62939OtherFLPHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://www.flshotsusers.com/ Health Information Exchange (HIE)

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
PS62939FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1902572431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 CLAYTON CROSSING WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327653426",
            "telephone_number": "407-673-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 CLAYTON CROSSING WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327653426",
            "telephone_number": "407-673-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMI",
        "first_name": "NIYOUSHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PS62939",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://www.flshotsusers.com/",
            "affiliation": "N",
            "endpointDescription": "FLSHOTS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FLSHOTS",
            "address_1": "2871 Clayton Crossing Way",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327653426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.