Active NPI
Bernadette Jean Leblanc, PHARMD
- Pharmacist
- Venice, FL
National Provider Identifier
1215534110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60635
- Practice address
- 1214 E Venice Ave Ste C
Venice, FL 34285-7165 - Phone
- (941) 584-2080
- NPI assigned
- Oct 4, 2020
- Sex
- Female
- 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 | PS60635 | FL | Primary |
Addresses
Primary practice location
1214 E Venice Ave Ste C
Venice, FL 34285-7165
Mailing address
596 Back Nine Dr
Venice, FL 34285-4546
Phone (860) 904-0456
Other names 1
- Ms. Bernadette Jean Weitz
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS60635 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shubhom Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Venice, FL
- NPI 1760934384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1215534110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 BACK NINE DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342854546",
"telephone_number": "860-904-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 E VENICE AVE STE C",
"city": "VENICE",
"state": "FL",
"postal_code": "342857165",
"telephone_number": "941-584-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "BERNADETTE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-04",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "WEITZ",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.