Individual provider Active NPI

Douglas Wilmon Drummond, PHARM.D.

  • Pharmacist
  • West Melbourne, FL
National Provider Identifier
1225449739
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41169 Issued in FL
Practice address
145 Palm Bay Rd NE
Ste 117
West Melbourne, FL 32904-8601
Phone
(321) 722-0995
Fax
(321) 722-9291
NPI assigned
May 19, 2014
Last updated
May 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41169 FL Primary

Addresses

Primary practice location

145 Palm Bay Rd NE
Ste 117
West Melbourne, FL 32904-8601

Mailing address

145 Palm Bay Rd NE
Ste 117
West Melbourne, FL 32904-8601
Phone (321) 722-0995

Other identifiers 1

IdentifierTypeStateIssuer
PS41169OtherFLTAXONOMY 183500000

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

LicenseStateTypeSpecialty
PS41169FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1225449739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE",
            "address_2": "STE 117",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "321-722-0995",
            "fax_number": "321-722-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE",
            "address_2": "STE 117",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "321-722-0995",
            "fax_number": "321-722-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "DOUGLAS",
        "middle_name": "WILMON",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY 183500000",
            "identifier": "PS41169",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.