Individual provider Active NPI

Edward Charles Robinson, RPH

  • Pharmacist
  • Cape Coral, FL
National Provider Identifier
1306461124
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS21066 Issued in FL
Practice address
1619 Del Prado Blvd S
Cape Coral, FL 33990-3713
Phone
(239) 772-4900
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X PS21066 FL Primary

Addresses

Primary practice location

1619 Del Prado Blvd S
Cape Coral, FL 33990-3713

Mailing address

13421 Seaside Harbour Dr
North Fort Myers, FL 33903-7122
Phone (813) 545-5574

Other identifiers 1

IdentifierTypeStateIssuer
10634200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecrobin.s00819.us@wal-mart.com Direct WAL-MART STORES EAST LP

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS21066FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306461124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 SEASIDE HARBOUR DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037122",
            "telephone_number": "813-545-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903713",
            "telephone_number": "239-772-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10634200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecrobin.s00819.us@wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "walmart email",
            "affiliationName": "WAL-MART STORES EAST LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1619 Del Prado Blvd S",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339903713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.