Individual provider Active NPI

Eric William Allen, RPH

  • Pharmacist
  • The Villages, FL
National Provider Identifier
1184263261
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0024730 Issued in FL
Practice address
Win Dixie Pharmacy #2545
2500 Burnsed Blvd
The Villages, FL 32162
Phone
(352) 753-7476
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0024730 FL Primary

Addresses

Primary practice location

Win Dixie Pharmacy #2545
2500 Burnsed Blvd
The Villages, FL 32162

Mailing address

5339 Old Hickory LN
Fruitland Park, FL 34731-6098
Phone (727) 421-6432

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

LicenseStateTypeSpecialty
PS0024730FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1184263261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 OLD HICKORY LN",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347316098",
            "telephone_number": "727-421-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WIN DIXIE PHARMACY #2545",
            "address_2": "2500 BURNSED BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-753-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0024730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.