Individual provider Active NPI

Christopher Ephrem Konig, PHARMD, MBA, RAC

  • Pharmacist
  • Palm Harbor, FL
National Provider Identifier
1124515762
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63463 Issued in FL
Practice address
4584 Grand Preserve PL
Palm Harbor, FL 34684-1052
Phone
(813) 406-2105
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63463 FL Primary

Addresses

Primary practice location

4584 Grand Preserve PL
Palm Harbor, FL 34684-1052

Mailing address

4584 Grand Preserve PL
Palm Harbor, FL 34684-1052

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS63463FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1124515762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4584 GRAND PRESERVE PL",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4584 GRAND PRESERVE PL",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841052",
            "telephone_number": "813-406-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIG",
        "first_name": "CHRISTOPHER",
        "middle_name": "EPHREM",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA, RAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.