Active NPI
Eric Bryson Madgett, PHARM.D.
- Pharmacist
- Port Orange, FL
National Provider Identifier
1366280331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67265
- Practice address
- 3821 S Nova Rd
Port Orange, FL 32127-4950 - Phone
- (386) 788-2220
- NPI assigned
- Jul 16, 2024
- 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 | 67265 | FL | Primary |
Addresses
Primary practice location
3821 S Nova Rd
Port Orange, FL 32127-4950
Mailing address
894 Asterfield LN
Deland, FL 32720-2340
Phone (386) 843-2503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67265 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1366280331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "894 ASTERFIELD LN",
"city": "DELAND",
"state": "FL",
"postal_code": "327202340",
"telephone_number": "386-843-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 S NOVA RD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274950",
"telephone_number": "386-788-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADGETT",
"first_name": "ERIC",
"middle_name": "BRYSON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "67265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.