Chrisita Ackermann, PHD
Individual provider Active NPI Pharmacist · Melbourne, FL
NPI 1134498660 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1134498660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS57093 (FL)
- Practice address
- 447 Lake Victoria Cir
Melbourne, FL 32940-1873 - Phone
- (734) 904-2529
- NPI assigned
- Dec 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS57093 | FL | MD | Pharmacist |
| 5302039013 | MI | MD | Pharmacist |
| PU8543 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated RX Outcomes Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302039013 | MI | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PU8543 | FL | |
| Pharmacist | 183500000X | PS57093 | FL | Yes |
Addresses
Primary practice location
447 Lake Victoria Cir
Melbourne, FL 32940-1873
Mailing address
447 Lake Victoria Cir
Melbourne, FL 32940-1873
Phone (734) 904-2529
Other practice location 1
309 Killarney Beach Rd
Bay City, MI 48706-1108
Phone (989) 391-9261
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.