Andrew George Iten

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS67306 Issued in FL

Practice address

40079 Highway 27
Davenport, FL 33837-7800

Phone

(863) 547-3903

NPI assigned

Nov 10, 2025

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Davenport, FL
  • NPI 1104127349
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1427928787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LOGGER HEAD CIR UNIT 7-206",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338969780",
            "telephone_number": "419-544-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40079 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377800",
            "telephone_number": "863-547-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITEN",
        "first_name": "ANDREW",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS67306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Hyland
• I Care Home & Companion Service LLC
• Erika Massiel Icabalzeta
• Henry Imagbe
• Isa Medical Center LLC
• Shantay Jackson
• Manuel G Jain, MD
• Nasseam M James
• Zuleima Janssen, ARNP
• Natacha Jean Baptiste

• Pharmacist in Davenport, FL
• Providers in Davenport, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.