Active NPI
Karl Ricjard Deigert
- Pharmacist
- Englewood, FL
National Provider Identifier
1306439260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22636
- Practice address
- 4100 S McCall Rd
Englewood, FL 34224 - Phone
- (941) 473-2933
- NPI assigned
- Feb 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS22636 | FL | Primary |
Addresses
Primary practice location
4100 S McCall Rd
Englewood, FL 34224
Mailing address
4100 S McCall Rd
Englewood, FL 34224
Phone (941) 473-2933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22636 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1306439260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 S MCCALL RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "34224",
"telephone_number": "941-473-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S MCCALL RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "34224",
"telephone_number": "941-473-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIGERT",
"first_name": "KARL",
"middle_name": "RICJARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.