Active NPI
Robert L Pelot, RPH
- Community/Retail Pharmacy
- Bradenton, FL
National Provider Identifier
1174658082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH2470
- Practice address
- 831 Manatee Ave E
Bradenton, FL 34208-1243 - Phone
- (941) 748-8130
- Fax
- (941) 749-5406
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS12705 | FL | |
| Community/Retail Pharmacy | 3336C0003X | PH2470 | FL | Primary |
Addresses
Primary practice location
831 Manatee Ave E
Bradenton, FL 34208-1243
Mailing address
831 Manatee Ave E
Bradenton, FL 34208-1243
Phone (941) 748-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102234200 | Medicaid | FL |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS12705 | FL | MD | Pharmacist |
| PH2470 | FL | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelot'S Pharmacy | Pharmacist | Past | Accepting new patients |
| Pelots Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Pharmacist
- Bradenton, FL
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- NPI 1942489380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1174658082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081243",
"telephone_number": "941-748-8130",
"fax_number": "941-749-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081243",
"telephone_number": "941-748-8130",
"fax_number": "941-749-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOT",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS12705",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH2470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102234200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.