Active NPI
Erica Ratanothayanon, PHARMD
- Pharmacist
- Destin, FL
National Provider Identifier
1366710998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45247
- Practice address
- 34909 Emerald Coast Pkwy
Destin, FL 32541-3446 - Phone
- (850) 654-7291
- Fax
- (850) 654-7299
- NPI assigned
- Dec 9, 2011
- Last updated
- Dec 9, 2011
- 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 | PS45247 | FL | Primary |
Addresses
Primary practice location
34909 Emerald Coast Pkwy
Destin, FL 32541-3446
Mailing address
1014 Airport Rd Unit 127
Destin, FL 32541-2887
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 |
|---|---|---|---|
| PS45247 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1366710998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 AIRPORT RD UNIT 127",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34909 EMERALD COAST PKWY",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413446",
"telephone_number": "850-654-7291",
"fax_number": "850-654-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATANOTHAYANON",
"first_name": "ERICA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.