Emily Rose Battillo
Individual provider Active NPI Pharmacist · Madison, FL
NPI 1497026744 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1497026744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS42541 (FL)
- Practice address
- 683 E Base Street
Madison, FL 32340 - Phone
- (850) 253-2599
- Fax
- (850) 253-2627
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42541 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jays Pharmacy of Madison LLC | Current |
Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
683 E Base St
Madison, FL 32340
Phone (850) 253-2599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42541 | FL | Yes |
Addresses
Primary practice location
683 E Base Street
Madison, FL 32340
Mailing address
680 Osteen Rd
Perry, FL 32347-1208
Phone (850) 838-2131
Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.