Thomas Robert Dyroff

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS28048 Issued in FL

Practice address

960 Backstage Lane
Lake Buena Vista, FL 32830

Phone

(407) 934-2030

Fax

(407) 934-2031

NPI assigned

Jan 4, 2012

Last updated

Jan 4, 2012By 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

State licenses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1831469105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 BACKSTAGE LANE",
            "city": "LAKE BUENA VISTA",
            "state": "FL",
            "postal_code": "32830",
            "telephone_number": "407-934-2030",
            "fax_number": "407-934-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BACKSTAGE LANE",
            "city": "LAKE BUENA VISTA",
            "state": "FL",
            "postal_code": "32830",
            "telephone_number": "407-934-2030",
            "fax_number": "407-934-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYROFF",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Arias, ATC
• Danielle Bohrer
• Max Arnold Clark II, M.D.
• Ashton Tyquilan Cobb, PHARMD, RPH
• Michelle Lynnette Hall, M.D.
• Michael Wayne Hankins, M.D.
• Sharon Rae Krumins, M.D.
• Lisa Clayville Martin, PHARMD
• Joseph Carney Metz III, MS, ATC, CSCS

• Pharmacist in Lake Buena Vista, FL
• Providers in Lake Buena Vista, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.