=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750143400
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSEYKAY CONSULTANT SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2024
-----------------------------------------------------
Last Update Date | 06/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 406 E VINE ST RM B
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34744-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-530-5745
-----------------------------------------------------
Fax | 407-530-5735
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 406 E VINE ST
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34744-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-201-8417
-----------------------------------------------------
Fax | 407-530-5735
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/PHARMACY MANAGER
-----------------------------------------------------
Name | JOHNSON AWOBUSUYI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-407-5305
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------