Organization Active NPI

Tallahassee Cancer Institute PL

Doing business as Tallahassee Cancer Institute Pharmacy

  • Pharmacy
  • Tallahassee, FL
National Provider Identifier
1942740139
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30628 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Amer RassamNPI 1952370769
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2168070OtherPK

Other names 1

  • Tallahassee Cancer Institute Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.