Ashton Tyquilan Cobb, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS53912 Issued in FL

Practice address

960 Backstage Lane
Lake Buena Vista, FL 32830-8472

Phone

(407) 934-4100

Fax

(407) 934-4101

NPI assigned

Jul 14, 2014

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1215344049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 SLAVEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194724",
            "telephone_number": "904-314-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BACKSTAGE LANE",
            "city": "LAKE BUENA VISTA",
            "state": "FL",
            "postal_code": "328308472",
            "telephone_number": "407-934-4100",
            "fax_number": "407-934-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ASHTON",
        "middle_name": "TYQUILAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-12-22",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Arias, ATC
• Danielle Bohrer
• Max Arnold Clark II, M.D.
• Thomas Robert Dyroff
• Michelle Lynnette Hall, M.D.
• Michael Wayne Hankins, M.D.
• Sharon Rae Krumins, M.D.
• Lisa Clayville Martin, PHARMD

• Pharmacist in Lake Buena Vista, FL
• Providers in Lake Buena Vista, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.