Active NPI
John David Radford
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1588264170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29749
- Practice address
- 2139 34TH St N
St Petersburg, FL 33713-3609 - Phone
- (727) 323-2911
- NPI assigned
- Nov 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS29749 | FL | Primary |
Addresses
Primary practice location
2139 34TH St N
St Petersburg, FL 33713-3609
Mailing address
7709 Bristol CT N
St Petersburg, FL 33709-1211
Phone (727) 692-7376
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS29749 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604188800000",
"number": "1588264170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 BRISTOL CT N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337091211",
"telephone_number": "727-692-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 34TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337133609",
"telephone_number": "727-323-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "JOHN",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-01",
"last_updated": "2020-11-01",
"certification_date": "2020-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.