Active NPI
Magdy Fam
- Pharmacist
- Ormond Beach, FL
National Provider Identifier
1992506695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH20553
- Practice address
- 795 W Granada Blvd
Ormond Beach, FL 32174-9510 - Phone
- (386) 672-7227
- NPI assigned
- Mar 20, 2025
- Sex
- Male
- 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 | PH20553 | FL | Primary |
Addresses
Primary practice location
795 W Granada Blvd
Ormond Beach, FL 32174-9510
Mailing address
144 Black Hickory Way
Ormond Beach, FL 32174-5709
Phone (718) 759-7639
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 |
|---|---|---|---|
| PH20553 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1992506695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 BLACK HICKORY WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745709",
"telephone_number": "718-759-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 W GRANADA BLVD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749510",
"telephone_number": "386-672-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAM",
"first_name": "MAGDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PH20553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.