Nectarios Kokonis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS40190 Issued in FL

Practice address

11566 US Highway 1
Palm Beach Gardens, FL 33408-3019

Phone

(561) 775-1027

Fax

(561) 628-8936

NPI assigned

Jan 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Palm Beach Gardens, FL
  • NPI 1700102092
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1306183256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11566 US HIGHWAY 1",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083019",
            "telephone_number": "561-775-1027",
            "fax_number": "561-628-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11566 US HIGHWAY 1",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083019",
            "telephone_number": "561-775-1027",
            "fax_number": "561-628-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKONIS",
        "first_name": "NECTARIOS",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Knudsen
• Zachary Knudson, PHARMD
• Amber Knutson
• Morgan K Koepper, PSYD
• Tania Luiza Koerber, RD, CSP, LD/N
• Edward S Kondi, MD
• Kevin Allen Konkle, LMHC
• Mark A Kontos, MD
• Ellen Koo, MD
• Carleen Korkin

• All providers in Palm Beach Gardens, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.