Elizabeth Bueker
Individual provider Active NPI Pharmacist · Ellenton, FL
NPI 1194189530 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1194189530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS26415 (FL)
- Practice address
- 6126 US Highway 301 N
Ellenton, FL 34222-3016 - Phone
- (941) 729-7844
- Fax
- (847) 376-2977
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS26415 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS26415 | FL | Yes |
Addresses
Primary practice location
6126 US Highway 301 N
Ellenton, FL 34222-3016
Mailing address
6126 US Highway 301 N
Ellenton, FL 34222-3016
Phone (941) 729-7844
Other providers in Ellenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.