James Atanda
Individual provider Active NPI Pharmacist · Ruskin, FL
NPI 1558096628 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1558096628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS43423 (FL)
- Practice address
- 1706 Bonita Bluff CT
Ruskin, FL 33570-3228 - Phone
- (813) 545-8662
- NPI assigned
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PS43423 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43423 | FL | Yes |
Addresses
Primary practice location
1706 Bonita Bluff CT
Ruskin, FL 33570-3228
Mailing address
1706 Bonita Bluff CT
Ruskin, FL 33570-3228
Phone (813) 545-8662
Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.