Individual provider Active NPI

Chantel A Roy, RPH

  • Pharmacist
  • Fort Myers, FL
National Provider Identifier
1578216420
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35604 Issued in FL
Practice address
18911 S Tamiami TRL Ste 13
Fort Myers, FL 33908-4739
Phone
(239) 590-8820
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS35604 FL Primary

Addresses

Primary practice location

18911 S Tamiami TRL Ste 13
Fort Myers, FL 33908-4739

Mailing address

18911 S Tamiami TRL Ste 13
Fort Myers, FL 33908-4739
Phone (239) 590-8820

Other names 1

  • Chantel A Roy Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sancarlosrx1@gmail.com SIDDH INC

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

LicenseStateTypeSpecialty
PS35604FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1578216420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 S TAMIAMI TRL STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084739",
            "telephone_number": "239-590-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 S TAMIAMI TRL STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084739",
            "telephone_number": "239-590-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "CHANTEL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sancarlosrx1@gmail.com",
            "affiliation": "Y",
            "affiliationName": "SIDDH INC",
            "address_1": "18911 S Tamiami Trl Ste 13",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339084739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHANTEL",
            "last_name": "ROY",
            "middle_name": "A",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.