Individual provider Active NPI

John Michael Sivon Jr., RPH

  • Pharmacist
  • Spring Hill, FL
National Provider Identifier
1235424995
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0033663 Issued in FL
Practice address
3101 Aerial Way
T-2489
Spring Hill, FL 34604-0629
Phone
(352) 593-2169
Fax
(352) 593-2169
NPI assigned
Jun 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0033663 FL Primary

Addresses

Primary practice location

3101 Aerial Way
T-2489
Spring Hill, FL 34604-0629

Mailing address

3101 Aerial Way
T-2489
Spring Hill, FL 34604-0629
Phone (352) 593-2169

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

LicenseStateTypeSpecialty
PS0033663FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1235424995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 AERIAL WAY",
            "address_2": "T-2489",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346040629",
            "telephone_number": "352-593-2169",
            "fax_number": "352-593-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AERIAL WAY",
            "address_2": "T-2489",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346040629",
            "telephone_number": "352-593-2169",
            "fax_number": "352-593-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0033663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.