William Stephen Bledsoe, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58975 Issued in FL

Practice address

1385 Amelia PLZ
Fernandina Beach, FL 32034-1998

Phone

(904) 261-5306

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1811639586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BUCKNOLL CV",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322663182",
            "telephone_number": "904-535-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 AMELIA PLZ",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341998",
            "telephone_number": "904-261-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Paul Bicknell III, PSYD
• Joshua Owen Bietenholz, D.M.D.
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Amelia Island Dialysis)
• Anna Rene' Morris Blackshear, LMHC
• Jeffrey W Blake, MD
• April Faizonia Blue-Moseley
• Jacob Blum, MD
• Danielle Susanne Blumer, RN, IBCLC
• Kwabena Boateng, PHARM.D.
• Marybeth Borreca

• Pharmacist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.