Active NPI
Stephen Philip Normandin, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1780272757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34433
- Practice address
- 5632 Gunn Hwy
Tampa, FL 33624-4110 - Phone
- (813) 963-5355
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- 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 | PS34433 | FL | Primary |
Addresses
Primary practice location
5632 Gunn Hwy
Tampa, FL 33624-4110
Mailing address
321 Tall Oak TRL
Tarpon Springs, FL 34688-7714
Phone (727) 741-2879
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 |
|---|---|---|---|
| PS34433 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1780272757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 TALL OAK TRL",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346887714",
"telephone_number": "727-741-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5632 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336244110",
"telephone_number": "813-963-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMANDIN",
"first_name": "STEPHEN",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.