Active NPI
Audra Ann Brunetti, CPHT
- Pharmacy Technician
- New Port Richey, FL
National Provider Identifier
1396954285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 310101050360952
- Practice address
- 12120 Moon Lake Rd
New Port Richey, FL 34654-1809 - Phone
- (727) 856-3588
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 310101050360952 | FL | Primary |
Addresses
Primary practice location
12120 Moon Lake Rd
New Port Richey, FL 34654-1809
Mailing address
6247 Krista Dr
Spring Hill, FL 34609-8929
Phone (352) 684-3263
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310101050360952 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396954285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6247 KRISTA DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098929",
"telephone_number": "352-684-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12120 MOON LAKE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346541809",
"telephone_number": "727-856-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNETTI",
"first_name": "AUDRA",
"middle_name": "ANN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "310101050360952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.