Zina Al Sekooty
Individual provider Active NPI Pharmacist · Melbourne, FL
NPI 1982153474 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1982153474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH55615 (FL)
- Practice address
- 1060 N Wickham Rd
Melbourne, FL 32935-8937 - Phone
- (321) 241-6433
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH55615 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wickham Discount Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH55615 | FL | Yes |
Addresses
Primary practice location
1060 N Wickham Rd
Melbourne, FL 32935-8937
Mailing address
4025 Snowy Egret Dr
Melbourne, FL 32904-9521
Phone (321) 301-2991
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.