John Bola Emmanuel, PHARMACIST

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

PSA41842 Issued in FL

Practice address

3606 Greenstone PL
Valrico, FL 33596-6919

Phone

(813) 588-9275

NPI assigned

Feb 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
  • NPI 1871631036
  NPD (past)
• New Hope Pharmacy

  • Community/Retail Pharmacy
  • Hialeah, FL
  • NPI 1235268319
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1164794335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 GREENSTONE PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966919",
            "telephone_number": "135-889-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 GREENSTONE PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966919",
            "telephone_number": "813-588-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "JOHN",
        "middle_name": "BOLA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41842",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PSA41842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PS 41842",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elderly Pride Assisted Living
• Elena Marie Eldridge, APRN
• Brian S Ellis, LMHC
• Melanie Diana Elmore, PA-C
• Emmanuel Enterprises Inc.
• Empower Mental Health Counseling Services, LLC
• Lauren Cathryn Endick, ARNP
• Engage Forself Counseling and Consulting, LLC
• Erika Ragland, LCSW PLLC
• Leonardo O Esperon, PHARMD

• Geriatric Pharmacist in Valrico, FL
• Providers in Valrico, FL by specialty
• Geriatric Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.