Mike Pissourios, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS026565 Issued in FL

Practice address

1420 W Waters Ave Ste 100
Tampa, FL 33604-2830

Phone

(813) 443-9619

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1255800306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 LITTLE EGRET CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582711",
            "telephone_number": "813-810-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W WATERS AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042830",
            "telephone_number": "813-443-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISSOURIOS",
        "first_name": "MIKE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "PS026565",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS026565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Maria Pires Betancourt
• Jamie L Pirone
• Stefanie D Pisano Diaz, MSN, APRN, FNP-BC
• Pisces Wound Care Inc
• Anita Rose Pissourios, RPH
• Ewa D. Piszczek, M.D.
• Miguel Pita Mekin
• Miguel Pita Toribio
• Ellen Pitcher, CRNA
• Victoria Despina Pitenis, APRN

• Pharmacist in Tampa, FL
• Providers in Tampa, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.