Jeffrey Ryan Parrado, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS36239 Issued in FL

Practice address

15209 Azra Dr
Odessa, FL 33556-1853

Phone

(813) 304-5812

Fax

(813) 926-6435

NPI assigned

Mar 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364688000000",
    "number": "1104169986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 AZRA DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561853",
            "telephone_number": "813-304-5812",
            "fax_number": "813-926-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 AZRA DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561853",
            "telephone_number": "813-304-5812",
            "fax_number": "813-926-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRADO",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-31",
        "last_updated": "2013-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE NUMBER",
            "identifier": "PS36239",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "250537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Odessa, FL
• Providers in Odessa, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.