Daniel Joseph Ross, PHARM.D.

Individual provider Active NPI Pharmacist · Port Saint John, FL

NPI 1831437995 · NPPES record last updated Jan 24, 2013

Key facts

NPI
1831437995
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS30714 (FL)
Practice address
7325 N US Highway 1
Port Saint John, FL 32927-5006
Phone
(321) 635-8464
Fax
(321) 636-1668
NPI assigned
Jan 24, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
PS30714FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30714 FL Yes

Addresses

Primary practice location

7325 N US Highway 1
Port Saint John, FL 32927-5006

Mailing address

7325 N US Highway 1
Port Saint John, FL 32927-5006
Phone (321) 635-8464

Other providers in Port Saint John, FL

All providers in Port Saint John, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.