Active NPI
Edward Von Seggern, RPH
- Pharmacist
- Bradenton, FL
National Provider Identifier
1184994915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41354
- Practice address
- 3425 53Rd Ave W
Bradenton, FL 34210-3490 - Phone
- (941) 752-7997
- Fax
- (941) 753-4555
- NPI assigned
- Jan 10, 2012
- Last updated
- Jan 10, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41354 | FL | Primary |
Addresses
Primary practice location
3425 53Rd Ave W
Bradenton, FL 34210-3490
Mailing address
338 Mendez Dr
Sarasota, FL 34243-1513
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 |
|---|---|---|---|
| PS41354 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1184994915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MENDEZ DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 53RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103490",
"telephone_number": "941-752-7997",
"fax_number": "941-753-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON SEGGERN",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
- Donnabelle Vitug
- VMD Primary Providers Central Florida PLLC
- Deborah Vogel-Howard, ARNP
- Volunteers of America of Florida, Inc
- Margaret Von Mauw, CNM, ARNP
- Dominique Michelle Vonador, DOM, LAC, AP
- Eric R. Vonherbulis, DPM
- Prajna Vootukuri
- Afiena Voss Dehardt, CCC-SLP, BCABA
- Victoria Marie Votour, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.