Active NPI
Michael Radulski, R.PH.
- Pharmacist
- Tallahassee, FL
National Provider Identifier
1538439369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS17673
- Practice address
- 3531 Thomasville Rd
Tallahassee, FL 32309-3405 - Phone
- (850) 907-0112
- Fax
- (850) 907-0117
- NPI assigned
- Jan 10, 2012
- Last updated
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS17673 | FL | Primary |
| Pharmacist | 183500000X | GA12922 | GA |
Addresses
Primary practice location
3531 Thomasville Rd
Tallahassee, FL 32309-3405
Mailing address
3531 Thomasville Rd
Tallahassee, FL 32309-3405
Phone (850) 907-0112
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 |
|---|---|---|---|
| PS17673 | FL | MD | Pharmacist |
| GA12922 | GA | 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": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1538439369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 THOMASVILLE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093405",
"telephone_number": "850-907-0112",
"fax_number": "850-907-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 THOMASVILLE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093405",
"telephone_number": "850-907-0112",
"fax_number": "850-907-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADULSKI",
"first_name": "MICHAEL",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS17673",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "GA12922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
- Radiology Associates of Tallahassee PA
- Radiology Associates of Tallahassee PA
- Radiology Imaging Specialists LLC (Carefirst Imaging)
- Radiology Physician Solutions of North Florida, LLC
- Radiserv LLC
- Elle Ragans
- Kevin Ragsdale, PH.D.
- Aneesh Rahangdale, MD
- Railey & Associates, LLC
- Michael Gerome Railey Sr., PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.