Vita Makar

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61529 Issued in FL

Practice address

3830 S Nova Rd Ste C4
Port Orange, FL 32127-9205

Phone

(386) 238-9734

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• FL Medhealth LLC

  dba Florida Medhealth Pharmacy

  • Pharmacist
  • Daytona Beach, FL
  • NPI 1649985284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1932713872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S NOVA RD STE C4",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279205",
            "telephone_number": "386-238-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S NOVA RD STE C4",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279205",
            "telephone_number": "386-238-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAR",
        "first_name": "VITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS61529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PS61529",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phone",
            "affiliation": "N",
            "endpointDescription": "4074584284",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kersfield Cir Fl USA",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327461937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tope Kassim Mabifa, PHARM. D
• Eric Bryson Madgett, PHARM.D.
• Lee Ann Magiera
• Christina Magnetta
• Bonnie Clare Mahoney
• Musa Makhlouf, H.I.S
• Angela Makowski-Baldwin, RBT
• Jose Manaloto
• Trenton Mandato, DMD
• Manila Home Care Inc.

• Pharmacist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.