Active NPI
Antonio Caruso, RPH
- Pharmacist
- Avon Park, FL
National Provider Identifier
1477647717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0015877
- Practice address
- 802 US Highway 27 S
Avon Park, FL 33825-4916 - Phone
- (863) 452-6228
- NPI assigned
- Oct 3, 2006
- Last updated
- May 16, 2013
- 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 | PS0015877 | FL | Primary |
Addresses
Primary practice location
802 US Highway 27 S
Avon Park, FL 33825-4916
Mailing address
802 US Highway 27 S
Avon Park, FL 33825-4916
Phone (863) 452-6228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102803100 | Medicaid | FL |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0015877 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1477647717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 US HIGHWAY 27 S",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254916",
"telephone_number": "863-452-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 US HIGHWAY 27 S",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254916",
"telephone_number": "863-452-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0015877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102803100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon Park, FL
- Lisa Michele Campbell, D.D.S.
- Taylour Ann Campbell, CF-SLP
- Kelly Carpenter, APRN
- Sonia D Carter
- Carters Ultimate Care
- Mabel Castillo, LCSW, PA
- Lovelie Celestin
- Center for Jewish Addiction Rehabilitation LLC
- Central Florida Health Care Inc (Central Florida Health Care Pharmacy)
- Central Florida Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.