Active NPI
Erlin Clement Jr., RPH
- Pharmacist
- Riverview, FL
National Provider Identifier
1609149996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS16744
- Practice address
- 13323 Boyette Rd
Riverview, FL 33569-5728 - Phone
- (813) 689-4498
- NPI assigned
- Feb 16, 2012
- Last updated
- Feb 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | PS16744 | FL | Primary |
Addresses
Primary practice location
13323 Boyette Rd
Riverview, FL 33569-5728
Mailing address
13323 Boyette Rd
Riverview, FL 33569-5728
Phone (813) 689-4498
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS16744 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1609149996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13323 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695728",
"telephone_number": "813-689-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13323 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695728",
"telephone_number": "813-689-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "ERLIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS16744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.