Active NPI
Kornelia Ilias, PHARMD, RPH
- Pharmacist
- Ruskin, FL
National Provider Identifier
1306538913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65521
- Practice address
- 1023 N Tamiami TRL
Ruskin, FL 33570-3545 - Phone
- (813) 645-9157
- NPI assigned
- May 23, 2023
- Sex
- Female
- 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 | PS65521 | FL | Primary |
Addresses
Primary practice location
1023 N Tamiami TRL
Ruskin, FL 33570-3545
Mailing address
9119 Symmes Rd
Gibsonton, FL 33534-5437
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS65521 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1306538913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 SYMMES RD",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335345437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 N TAMIAMI TRL",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335703545",
"telephone_number": "813-645-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIAS",
"first_name": "KORNELIA",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.