Active NPI
Timothy Richard Parham, RPH.
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1700934999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0022208
- Practice address
- 11100 4TH St N
St Petersburg, FL 33716-2900 - Phone
- (727) 579-1433
- NPI assigned
- Jan 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PS0022208 | FL | Primary |
Addresses
Primary practice location
11100 4TH St N
St Petersburg, FL 33716-2900
Mailing address
3900 38TH St S
St Petersburg, FL 33711-4322
Phone (727) 865-1294
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 |
|---|---|---|---|
| PS0022208 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700934999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 38TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337114322",
"telephone_number": "727-865-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337162900",
"telephone_number": "727-579-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "TIMOTHY",
"middle_name": "RICHARD",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0022208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.