Active NPI
Frederick Demella Jr., RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Punta Gorda, FL
National Provider Identifier
1730057571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS53140
- Practice address
- 2595 Tarpon Cove Dr Apt 1212
Punta Gorda, FL 33950-1915 - Phone
- (941) 629-1181
- NPI assigned
- Oct 24, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202012795 | VA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PCT.0005764 | CT | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS53140 | FL | Primary |
Addresses
Primary practice location
2595 Tarpon Cove Dr Apt 1212
Punta Gorda, FL 33950-1915
Mailing address
2595 Tarpon Cove Dr Apt 1212
Punta Gorda, FL 33950-1915
Phone (941) 629-1181
Other names 1
- Frederick De Mella Jr.
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 |
|---|---|---|---|
| PCT.0005764 | CT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PS53140 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 0202012795 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1730057571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 TARPON COVE DR APT 1212",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339501915",
"telephone_number": "941-629-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 TARPON COVE DR APT 1212",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339501915",
"telephone_number": "941-629-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLA",
"first_name": "FREDERICK",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202012795",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CT",
"license": "PCT.0005764",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS53140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FREDERICK",
"last_name": "DE MELLA",
"suffix": "JR.",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.