Individual provider Active NPI

Anthony Dawson Bethune, PHARMD

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1689033847
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34976 Issued in FL
Practice address
7748 Senjill CT
Orlando, FL 32818-8758
Phone
(321) 438-1084
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34976 FL Primary

Addresses

Primary practice location

7748 Senjill CT
Orlando, FL 32818-8758

Mailing address

7748 Senjill CT
Orlando, FL 32818-8758
Phone (321) 438-1084

Other identifiers 1

IdentifierTypeStateIssuer
PS34976MedicaidFL

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
PS34976FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1689033847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7748 SENJILL CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188758",
            "telephone_number": "321-438-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7748 SENJILL CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188758",
            "telephone_number": "321-438-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHUNE",
        "first_name": "ANTHONY",
        "middle_name": "DAWSON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS34976",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.