Individual provider Active NPI

Allen G. Whisler, PHARMD

  • Pharmacist
  • Largo, FL
National Provider Identifier
1003115288
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58561 Issued in FL
Practice address
2200 Tall Pines Dr Ste 118
Largo, FL 33771-5318
Phone
(800) 330-3526
NPI assigned
Mar 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446842 PA
Pharmacist 183500000X 58561 FL Primary

Addresses

Primary practice location

2200 Tall Pines Dr Ste 118
Largo, FL 33771-5318

Mailing address

2200 Tall Pines Dr Ste 118
Largo, FL 33771-5318
Phone (800) 330-3526

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
58561FLMDPharmacist
RP446842PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Clover, LLC Current Accepting new patients
Tranquility Wellness Group, LLC Current Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients
Pharmacy Corporation of America PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1003115288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 TALL PINES DR STE 118",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715318",
            "telephone_number": "800-330-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TALL PINES DR STE 118",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715318",
            "telephone_number": "800-330-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISLER",
        "first_name": "ALLEN",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-27",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446842",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "58561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.