Individual provider Active NPI

Robert P Brillon, RPH

  • Pharmacist
  • Seminole, FL
National Provider Identifier
1730309238
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0022614 Issued in FL
Practice address
14502 Alejo Court
Seminole, FL 33776
Phone
(727) 409-5968
Fax
(727) 409-5968
NPI assigned
Apr 26, 2007
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0022614 FL Primary

Addresses

Primary practice location

14502 Alejo Court
Seminole, FL 33776

Mailing address

14502 Alejo Court
Seminole, FL 33776
Phone (727) 409-5968

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

LicenseStateTypeSpecialty
PS0022614FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1730309238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 ALEJO COURT",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-409-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 ALEJO COURT",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-409-5968",
            "fax_number": "727-409-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLON",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0022614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.