Individual provider Active NPI

David Thomas John Stimson, PHARMD

  • Pharmacist
  • Lecanto, FL
National Provider Identifier
1619690963
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS57887 Issued in FL
Practice address
471 N Dacie PT
Lecanto, FL 34461-6306
Phone
(352) 746-3420
Fax
(352) 746-6741
NPI assigned
Sep 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS57887 FL Primary

Addresses

Primary practice location

471 N Dacie PT
Lecanto, FL 34461-6306

Mailing address

471 N Dacie PT
Lecanto, FL 34461-6306
Phone (352) 746-3420

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS57887FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brashears Vital Care Corp PastSince Sep 25, 2022 Accepting new patients
Brashears Vital Care Corp PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1619690963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N DACIE PT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616306",
            "telephone_number": "352-746-3420",
            "fax_number": "352-746-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N DACIE PT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616306",
            "telephone_number": "352-746-3420",
            "fax_number": "352-746-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMSON",
        "first_name": "DAVID",
        "middle_name": "THOMAS JOHN",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.