Active NPI
Nirmin Maged Nasr
- Pharmacist
- Melbourne, FL
National Provider Identifier
1942548037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42017
- Practice address
- 3278 Lamanga Dr
Melbourne, FL 32940-8524 - Phone
- (321) 514-4694
- NPI assigned
- Jan 23, 2013
- 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 | PS42017 | FL | Primary |
Addresses
Primary practice location
3278 Lamanga Dr
Melbourne, FL 32940-8524
Mailing address
3200 Lake Washington Rd
Melbourne, FL 32934-7620
Phone (321) 242-0592
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42017 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic PH LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1477051217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1942548037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 LAKE WASHINGTON RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347620",
"telephone_number": "321-242-0592",
"fax_number": "321-242-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3278 LAMANGA DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329408524",
"telephone_number": "321-514-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASR",
"first_name": "NIRMIN",
"middle_name": "MAGED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.