Ronald Madison Christmas, RPH
Individual provider Active NPI Pharmacist · Tavernier, FL
NPI 1578894705 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1578894705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS0019888 (FL)
- Practice address
- 92100 Overseas Hwy
Tavernier, FL 33070 - Phone
- (305) 852-5069
- Fax
- (305) 852-6301
- NPI assigned
- Jan 28, 2010
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0019888 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS0019888 | FL | Yes |
Addresses
Primary practice location
92100 Overseas Hwy
Tavernier, FL 33070
Mailing address
PO Box 1028
Tavernier, FL 33070-1028
Phone (305) 509-0111
Other providers in Tavernier, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. 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.