Active NPI
Anita Karen Runyan
- Pharmacist
- Chipley, FL
National Provider Identifier
1225109598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22522
- Practice address
- 1357 Brickyard Rd
Chipley, FL 32428-2467 - Phone
- (850) 638-0424
- Fax
- (850) 638-9371
- NPI assigned
- Nov 10, 2006
- 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 | PS22522 | FL | Primary |
Addresses
Primary practice location
1357 Brickyard Rd
Chipley, FL 32428-2467
Mailing address
3794 Woodham Rd
Graceville, FL 32440-7710
Phone (850) 263-1870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22522 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225109598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3794 WOODHAM RD",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324407710",
"telephone_number": "850-263-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 BRICKYARD RD",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324282467",
"telephone_number": "850-638-0424",
"fax_number": "850-638-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYAN",
"first_name": "ANITA",
"middle_name": "KAREN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.