Active NPI
Mitchel Ward, R. PH.
- Pharmacist
- Tallahassee, FL
National Provider Identifier
1225163397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0014662
- Practice address
- 1625 W Tharpe St
Tallahassee, FL 32303-4664 - Phone
- (850) 297-2557
- NPI assigned
- Feb 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH011245 | GA | |
| Pharmacist | 183500000X | PS0014662 | FL | Primary |
Addresses
Primary practice location
1625 W Tharpe St
Tallahassee, FL 32303-4664
Mailing address
156 Camellia Ave
Monticello, FL 32344-5740
Phone (850) 997-5243
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 |
|---|---|---|---|
| PS0014662 | FL | MD | Pharmacist |
| RPH011245 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225163397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CAMELLIA AVE",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323445740",
"telephone_number": "850-997-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 W THARPE ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323034664",
"telephone_number": "850-297-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MITCHEL",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH011245",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0014662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, 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.