Active NPI
Teri Vrchoticky, RPH, PHARM.D.
- Physician Assistant
- St Petersburg, FL
National Provider Identifier
1598014367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115609
- Practice address
- 601 5TH St S
St Petersburg, FL 33701-4804 - Phone
- (727) 767-8181
- Fax
- (727) 767-2590
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS34139 | FL | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA9115609 | FL | Primary |
Addresses
Primary practice location
601 5TH St S
St Petersburg, FL 33701-4804
Mailing address
601 5TH St S
St Petersburg, FL 33701-4804
Phone (727) 767-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS34139 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PA9115609 | FL | MD | Physician Assistant |
Interoperability endpoints
- tvrchoticky972994@direct.hopkinsmedicine.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1598014367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VRCHOTICKY",
"first_name": "TERI",
"name_prefix": "Dr.",
"credential": "RPH, PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2022-10-07",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS34139",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.