Healthcare Provider Details

I. General information

NPI: 1679726301
Provider Name (Legal Business Name): JAMES SAMUEL ALCORN PHARMD, MS, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2008
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W SEMINOLE BLVD
SANFORD FL
32771-6743
US

IV. Provider business mailing address

1401 W SEMINOLE BLVD
SANFORD FL
32771-6743
US

V. Phone/Fax

Practice location:
  • Phone: 407-302-7395
  • Fax: 407-302-7391
Mailing address:
  • Phone: 407-302-7395
  • Fax: 407-302-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number3158217
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS56254
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPU8697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: