Active NPI
Tina Driscoll, PHARMD
- Pharmacist
- Brooksville, FL
National Provider Identifier
1700396454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60946
- Practice address
- 13300 Cortez Blvd
Brooksville, FL 34613-4887 - Phone
- (352) 596-0797
- NPI assigned
- Oct 9, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI35855 | FL | |
| Pharmacist | 183500000X | PS60946 | FL | Primary |
Addresses
Primary practice location
13300 Cortez Blvd
Brooksville, FL 34613-4887
Mailing address
17206 Fountainside Loop Apt 304
Lutz, FL 33558-5589
Phone (813) 474-8874
Other practice location 1
18901 Sr 54
Lutz, FL 33558-5268
Phone (813) 949-8416
Other practice location 2
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone (813) 974-5699
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS60946 | FL | MD | Pharmacist |
| PSI35855 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652486400000",
"number": "1700396454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17206 FOUNTAINSIDE LOOP APT 304",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585589",
"telephone_number": "813-474-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13300 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346134887",
"telephone_number": "352-596-0797"
}
],
"practiceLocations": [
{
"address_1": "18901 SR 54",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335585268",
"country_code": "US",
"telephone_number": "813-949-8416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12901 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-974-5699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRISCOLL",
"first_name": "TINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2022-05-14",
"certification_date": "2022-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI35855",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.