Mercedes Austin, B.S. PHARM.,R.PH.
Individual provider Active NPI Pharmacist · Madison, FL
NPI 1598828626 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1598828626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS26423 (FL)
- Practice address
- 407 E Base St
Madison, FL 32340-2769 - Phone
- (850) 973-3019
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS26423 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS26423 | FL | Yes |
Addresses
Primary practice location
407 E Base St
Madison, FL 32340-2769
Mailing address
3973 Bourbon St
Tallahassee, FL 32303-2035
Phone (850) 960-5480
Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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.