Kevin C Mustain

Primary specialty

Emergency Medicine PharmacistTaxonomy code 1835E0208X

License

PS65050 Issued in FL

Practice address

1451 El Camino Real
The Villages, FL 32159-0041

Phone

(352) 751-8263

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1316623929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 SE 46TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344801669",
            "telephone_number": "954-240-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 EL CAMINO REAL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321590041",
            "telephone_number": "352-751-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAIN",
        "first_name": "KEVIN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835E0208X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Emergency Medicine",
            "state": "FL",
            "license": "PS65050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulberry Grove NH LLC
• Mulberry Medical Group PA
• Mulberry Oriental Medicine
• John M Murphy, MD
• Sara J Murray, RD
• Lacey Myers, APRN
• Leilani Hope Myers, DMD
• Priscilla Myers, APRN
• N Yelamanchi MD PA
• Lester V. Negron-Ayala, M.D.

• Emergency Medicine Pharmacist in The Villages, FL
• Providers in The Villages, FL by specialty
• Emergency Medicine Pharmacist in Florida

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