Active NPI
Tallahassee Cancer Institute PL
Doing business as Tallahassee Cancer Institute Pharmacy
- Pharmacy
- Tallahassee, FL
National Provider Identifier
1942740139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH30628
- Legal business name
- TALLAHASSEE CANCER INSTITUTE PL
- Doing business as
- Tallahassee Cancer Institute Pharmacy
- Practice address
- 1653 Mahan Center Blvd
Suite a
Tallahassee, FL 32308-5454 - Phone
- (850) 727-5502
- Fax
- (850) 219-8003
- NPI assigned
- Mar 7, 2017
- Last updated
- Apr 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amer Rassam
- Title
- MD
- Phone
- (850) 219-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH30628 | FL | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
1653 Mahan Center Blvd
Suite a
Tallahassee, FL 32308-5454
Mailing address
1653 Mahan Center Blvd
Suite a
Tallahassee, FL 32308-5454
Phone (850) 727-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168070 | Other | PK |
Other names 1
- Tallahassee Cancer Institute Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Tallahassee, FL
- NPI 1952370769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1942740139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 MAHAN CENTER BLVD",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085454",
"telephone_number": "850-727-5502",
"fax_number": "850-219-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 MAHAN CENTER BLVD",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085454",
"telephone_number": "850-727-5502",
"fax_number": "850-219-8003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLAHASSEE CANCER INSTITUTE PL",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-07",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "RASSAM",
"authorized_official_first_name": "AMER",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "850-219-8000"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH30628",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2168070",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tallahassee Cancer Institute Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
- Tallahassee Allergy, Asthma & Immunology, LLC
- Tallahassee Anesthesiology, P.a.
- Tallahassee Birth Cottage, LLC
- Tallahassee Brain Stimulation Center, LLC
- Tallahassee Cancer Center PL
- Tallahassee Cancer Institute, PL
- Tallahassee Cardiology Associates, P.a.
- Tallahassee Chinese Medicine LLC
- Tallahassee Chiropractic Sports Medicine and Rehab Center
- Tallahassee Counseling & Consulting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.