Christine Mary Emmons
Individual provider Active NPI Pharmacist · Marathon, FL
NPI 1154762573 · NPPES record last updated Feb 5, 2014
Key facts
- NPI
- 1154762573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS26864 (FL)
- Practice address
- 295 51St Street Gulf
Marathon, FL 33050-2611 - Phone
- (305) 942-9555
- NPI assigned
- Jul 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS26864 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS26864 | FL | Yes |
Addresses
Primary practice location
295 51St Street Gulf
Marathon, FL 33050-2611
Mailing address
295 51St Street Gulf
Marathon, FL 33050-2611
Phone (305) 942-9555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS26864 | Other | FL | PHARMACY LICENSE |
| 5302022865 | Other | MI | PHARMACY LICENSE |
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2014. 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.