Active NPI
Erica Paul, PHARMD
- Pharmacist
- Ellenton, FL
National Provider Identifier
1073982708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 50099
- Practice address
- 6126 US Highway 301 N
Ellenton, FL 34222-3016 - Phone
- (941) 729-7844
- NPI assigned
- Sep 23, 2015
- Last updated
- Sep 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 50099 | FL | Primary |
| Pharmacist | 183500000X | PHA P 2320 | AK |
Addresses
Primary practice location
6126 US Highway 301 N
Ellenton, FL 34222-3016
Mailing address
6126 US Highway 301 N
Ellenton, FL 34222-3016
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA P 2320 | AK | MD | Pharmacist |
| PS 50099 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1073982708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 US HIGHWAY 301 N",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342223016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 US HIGHWAY 301 N",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342223016",
"telephone_number": "941-729-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ERICA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 50099",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "PHA P 2320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.