Individual provider Active NPI

Justin Feil, PHARMD

  • Pharmacist
  • North Fort Myers, FL
National Provider Identifier
1306110580
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19765 Issued in CO
Practice address
3426 Hancock Bridge Pkwy
Apt 1105
North Fort Myers, FL 33903-7071
Phone
(239) 265-9023
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45146 FL
Pharmacist 183500000X 26023181A IN
Pharmacist 183500000X 19765 CO Primary

Addresses

Primary practice location

3426 Hancock Bridge Pkwy
Apt 1105
North Fort Myers, FL 33903-7071

Mailing address

1985 Sheridan Blvd Apt 1105
Edgewater, CO 80214-1325
Phone (720) 274-3666

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
19765COMDPharmacist
PS45146FLMDPharmacist
26023181AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1306110580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 SHERIDAN BLVD APT 1105",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141325",
            "telephone_number": "720-274-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 HANCOCK BRIDGE PKWY",
            "address_2": "APT 1105",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037071",
            "telephone_number": "239-265-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIL",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45146",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023181A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "19765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.