Active NPI
Robert Stephen Howard Jr.
- Pharmacist
- Casselberry, FL
National Provider Identifier
1083900104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS20484
- Practice address
- 4410 S US Highway 17/92
T-0898
Casselberry, FL 32707-3290 - Phone
- (407) 830-6363
- Fax
- (497) 830-6363
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS20484 | FL | Primary |
Addresses
Primary practice location
4410 S US Highway 17/92
T-0898
Casselberry, FL 32707-3290
Mailing address
4410 S US Highway 17/92
T-0898
Casselberry, FL 32707-3290
Phone (407) 830-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS20484 | Other | FL | PHARMACIST LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS20484 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1083900104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 S US HIGHWAY 17/92",
"address_2": "T-0898",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073290",
"telephone_number": "407-830-6363",
"fax_number": "497-830-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 S US HIGHWAY 17/92",
"address_2": "T-0898",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073290",
"telephone_number": "407-830-6363",
"fax_number": "497-830-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS20484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "PS20484",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.