Active NPI
Taguna Martinez Reid
- Pharmacy Technician
- St Petersburg, FL
National Provider Identifier
1164540787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 250100103031467
- Practice address
- 1049 62ND Ave N
St Petersburg, FL 33702-7419 - Phone
- (727) 525-0700
- Fax
- (727) 525-0901
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 250100103031467 | FL | Primary |
Addresses
Primary practice location
1049 62ND Ave N
St Petersburg, FL 33702-7419
Mailing address
1004 25TH St S
St Petersburg, FL 33712-2173
Phone (727) 687-8214
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250100103031467 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1164540787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 25TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337122173",
"telephone_number": "727-687-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 62ND AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337027419",
"telephone_number": "727-525-0700",
"fax_number": "727-525-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "TAGUNA",
"middle_name": "MARTINEZ",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "250100103031467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.