Active NPI
Christine E Menkin, RPH
- Pharmacist
- Winter Park, FL
National Provider Identifier
1679158539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS17528
- Practice address
- 1885 Temple Dr
Winter Park, FL 32789-1662 - Phone
- (407) 647-8064
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PS17528 | FL | Primary |
Addresses
Primary practice location
1885 Temple Dr
Winter Park, FL 32789-1662
Mailing address
1885 Temple Dr
Winter Park, FL 32789-1662
Phone (407) 647-8064
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 |
|---|---|---|---|
| PS17528 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1679158539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 TEMPLE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891662",
"telephone_number": "407-647-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 TEMPLE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891662",
"telephone_number": "407-647-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKIN",
"first_name": "CHRISTINE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS17528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.