Center for Chronic Disease Management and Education LLC

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS20980 Issued in FL

Legal business name

CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC

Practice address

1381 Cross Creek Cir
Tallahassee, FL 32301-3729

Phone

(850) 877-6393

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Otis Wilbur Kirksey, PHARMD, BC-ADM, CDENPI 1659539716

Title

Chief Operating Officer

Phone

(850) 284-6873

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otis Wilbur Kirksey, PHARMD

  • Pharmacist
  • Tallahassee, FL
  • NPI 1659539716
  NPD Authorized official

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1295236578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7011",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323147011",
            "telephone_number": "850-284-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-877-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "KIRKSEY",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "WILBUR",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "850-284-6873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, BC-ADM, CDE"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.