Colleen A Hyde, RPH
Individual provider Active NPI Pharmacist · Treasure Island, FL
NPI 1710328786 · NPPES record last updated Jul 8, 2013
Key facts
- NPI
- 1710328786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS21548 (FL)
- Practice address
- 765 115TH Ave
Treasure Island, FL 33706-1121 - Phone
- (813) 340-5487
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS21548 | FL | MD | Pharmacist |
| PU4342 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS21548 | FL | Yes |
| Pharmacist | 183500000X | PU4342 | FL |
Addresses
Primary practice location
765 115TH Ave
Treasure Island, FL 33706-1121
Mailing address
765 115TH Avenue
Treasure Island, FL 33706
Other providers in Treasure Island, FL
- Mamoon Ali Ghellai
- Linda Karen Gibbons
- Amanda Gibson
- Gulf Coast Recovery Inc
- Steven Craig Hammock
- Jeevan Diptee Rodrigues MD PA
- Pamela Ann Kay
- Joseph Wesley Klein
- Leslie Jean Kopp
- Kayla Marie Lazar
All providers in Treasure Island, FL · Pharmacist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.