Active NPI
Pelot'S Pharmacy
- Pharmacist
- Bradenton, FL
National Provider Identifier
1003837345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0012705
- Legal business name
- PELOT'S PHARMACY
- Practice address
- 831 Manatee Ave E
Bradenton, FL 34208-1243 - Phone
- (941) 748-8130
- Fax
- (941) 749-5406
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert L Pelot, RPH
- Title
- Owner/Pharmacist
- Phone
- (941) 748-8130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS0012705 | FL | Primary |
Addresses
Primary practice location
831 Manatee Ave E
Bradenton, FL 34208-1243
Mailing address
831 Manatee Ave E
Bradenton, FL 34208-1243
Phone (941) 748-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102234200 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Pelot'S Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bradenton, FL
- NPI 1942489380
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1003837345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081243",
"telephone_number": "941-748-8130",
"fax_number": "941-749-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081243",
"telephone_number": "941-748-8130",
"fax_number": "941-749-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELOT'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "PELOT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "941-748-8130",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0012705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102234200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.