Active NPI
Srilatha Anumasu, RPH
- Pharmacist
- St Augustine, FL
National Provider Identifier
1699440644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38551
- Practice address
- 116 Blackford Way
Saint Augustine, FL 32086-1876 - Phone
- (904) 436-0006
- NPI assigned
- Aug 11, 2021
- Last updated
- Aug 11, 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 | PS38551 | FL | Primary |
Addresses
Primary practice location
116 Blackford Way
Saint Augustine, FL 32086-1876
Mailing address
824 Chanterelle Way
Saint Johns, FL 32259-8000
Phone (732) 567-2138
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 |
|---|---|---|---|
| PS38551 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
116 Blackford Way
St Augustine, FL 32086
Phone (904) 436-0006
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1699440644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 CHANTERELLE WAY",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322598000",
"telephone_number": "732-567-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BLACKFORD WAY",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320861876",
"telephone_number": "904-436-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUMASU",
"first_name": "SRILATHA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.