FADY SAMAH SAMY YASSA
NPI 1194382036
Pharmacist in Fort Myers, FL

Active since May 27, 2019
4204 PALM BEACH BLVD, FORT MYERS, FL 33905(239) 694-2114 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, May 27, 2019 (2 updates tracked since 2019).

About Fady Samah Samy Yassa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FADY SAMAH SAMY YASSA (NPI 1194382036) is an individual pharmacist in Fort Myers, Florida, licensed in Florida (PS54714) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1194382036
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameFADY SAMAH SAMY YASSA
Location Address4204 PALM BEACH BLVDFort Myers, FL 33905-3413
Mailing Address4204 Palm Beach BlvdFort Myers, FL 33905-3413 · (239) 694-2114
Sole ProprietorNo
Enumeration DateMay 27, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1194382036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS54714
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4204 PALM BEACH BLVD, Fort Myers, FL 33905

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4204 PALM BEACH BLVD
FORT MYERS, FL 33905
Pharmacist
4204 PALM BEACH BLVD
FORT MYERS, FL 33905
Pharmacy
4204 PALM BEACH BLVD
FORT MYERS, FL 33905
Pharmacist
4204 PALM BEACH BLVD
FORT MYERS, FL 33905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fady Yassa's NPI number?

The NPI number for Fady Yassa is 1194382036. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Fady Yassa located?

Fady Yassa practices at 4204 Palm Beach Blvd, Fort Myers, FL 33905. The listed phone number is (239) 694-2114.

What is Fady Yassa's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Fady Yassa was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.