Courtney Lynne Macdougall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS50028 Issued in FL

Practice address

3501 54TH Ave S
Saint Petersburg, FL 33711-4541

Phone

(727) 864-1546

Fax

(727) 864-9800

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1730718032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 54TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 54TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114541",
            "telephone_number": "727-864-1546",
            "fax_number": "727-864-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056855",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Jacob Mabie, MSW
• Mary A Macari, ARNP
• Alessandra Nicole Macca, LMHC
• Natalie Macchia
• Caroline R Maccio
• Brian Thienemann Macdowell, M.D.
• Mace Anthony Williamson Foundation
• Joseph R Mace, MD
• Manoel Roberto Macedo, D.D.S., M.S., P.H.D.
• Anthony Macfarland I

• Pharmacist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.