Keri Marie Justice, PHARM.D.

Individual provider Active NPI Pharmacotherapy Pharmacist · Ellenton, FL

NPI 1790771590 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1790771590
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
PS 30590 (FL)
Practice address
4333 US Highway 301 N
Ellenton, FL 34222-2413
Phone
(941) 721-0649
Fax
(941) 721-6080
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS 30590FLMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PS 30590 FL Yes

Addresses

Primary practice location

4333 US Highway 301 N
Ellenton, FL 34222-2413

Mailing address

5902 Flatwoods Manor Cir
Lithia, FL 33547-5000
Phone (813) 684-7889

Other providers in Ellenton, FL

All providers in Ellenton, FL · Pharmacotherapy Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.