Active NPI
Robert Larry Ritter, R.PH.
- Pharmacist
- New Smyrna Beach, FL
National Provider Identifier
1619257243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 12716
- Practice address
- 108 Mangrove Estates Cir
New Smyrna Beach, FL 32168-5968 - Phone
- (734) 277-5860
- NPI assigned
- Aug 26, 2011
- 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 | PS 12716 | FL | Primary |
Addresses
Primary practice location
108 Mangrove Estates Cir
New Smyrna Beach, FL 32168-5968
Mailing address
108 Mangrove Estates Cir
New Smyrna Beach, FL 32168-5968
Phone (734) 277-5860
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 |
|---|---|---|---|
| PS 12716 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1619257243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MANGROVE ESTATES CIR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321685968",
"telephone_number": "734-277-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MANGROVE ESTATES CIR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321685968",
"telephone_number": "734-277-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "ROBERT",
"middle_name": "LARRY",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 12716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.