Moustafa Soud, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61645 Issued in FL

Practice address

900 E Lake Rd
Palm Harbor, FL 34685-2430

Phone

(727) 784-5771

NPI assigned

Apr 18, 2021

Last updated

Apr 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Interoperability endpoints

• Direct secure messaging: moustafa.soud@cvshealth.com

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1912588393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852430",
            "telephone_number": "727-784-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUD",
        "first_name": "MOUSTAFA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Moustafa.soud@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "900 E Lake Rd",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346852430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.