Timothy Jay Simuangco Antonio

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PSI46703 Issued in FL

Practice address

845 4TH St N
Saint Petersburg, FL 33701-2323

Phone

(727) 821-1172

NPI assigned

Jun 12, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • St Petersburg, FL
  • NPI 1154425023
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1700772258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CAPISTRANO CT",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712774",
            "telephone_number": "727-424-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337012323",
            "telephone_number": "727-821-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "TIMOTHY JAY",
        "middle_name": "SIMUANGCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "PSI46703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Aesthetics Facial Plastic Surgery, PLLC
• Charles Anthony II, M.D.
• Laura Ida Anthony, LCSW
• Shari Tasha Anthony
• Shana Elizabeth Anton, MD
• Gloria Shafaye Antwi
• Anxiety Treatment Specialists
• Mimi Coy Anzel, BA, MA, JD
• Aor Inc
• Apex Precision Psychology

• Pharmacy Technician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.