Active NPI
Charles Minnella, RPH
- Pharmacist
- Dunedin, FL
National Provider Identifier
1619017936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34606
- Practice address
- 1477 Main St
Dunedin, FL 34698-6243 - Phone
- (727) 733-3176
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS34606 | FL | Primary |
| Pharmacist | 183500000X | 025066 | MA | |
| Pharmacist | 183500000X | 27779 | NJ |
Addresses
Primary practice location
1477 Main St
Dunedin, FL 34698-6243
Mailing address
PO Box 367
Oldsmar, FL 34677-0367
Phone (727) 403-2980
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 |
|---|---|---|---|
| PS34606 | FL | MD | Pharmacist |
| 025066 | MA | MD | Pharmacist |
| 27779 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619017936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346770367",
"telephone_number": "727-403-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 MAIN ST",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986243",
"telephone_number": "727-733-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNELLA",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34606",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "025066",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "27779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
- Thomas Michael Millman, DDS
- Amy Mills
- Mimigrimm,Ma,Individual,Couple&Family Therapy
- Mimigrimm,Ma,Individual,Couple&Family Therapy
- Mindfully Pain Free, LLC
- Paula Mitchell, LCSW
- Moments Assisted Living Facility LLC
- Kristen Mongelluzzi
- Lanie Elizabeth Mongelluzzi
- Morgan Method PLLC (Morgan Chiropractic Method)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.