Donald Eugene Berisford

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 20786 Issued in FL

Practice address

910 Old Camp Rd
Building # 170
The Villages, FL 32162-5604

Phone

(352) 753-1877

Fax

(352) 753-3755

NPI assigned

Jan 16, 2013

Last updated

Jan 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• The Medicine Chest Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • The Villages, FL
  • NPI 1073500088
  Authorized official Same address or phone

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1093053647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BUILDING # 170",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-753-1877",
            "fax_number": "352-753-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BUILDING # 170",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-753-1877",
            "fax_number": "352-753-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERISFORD",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 20786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PS 20786",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Bender, PA-C
• Spencer Udell Bennion
• Laura L Benoit, PTA
• Derek David Benthusen, PT,DPT,ATC
• Adam Vincent Bergman, DMD
• Bernadette Santos MD PA
• Maryann Berry, R.PH.
• Richard Berry Jr., R.PH.
• Pedro A. Betances, MD
• Betterurolife PA

• Pharmacist in The Villages, FL
• Providers in The Villages, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.