Active NPI
Michael Nunno, PHARMD
- Pharmacist
- Lakeland, FL
National Provider Identifier
1841890944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58568
- Practice address
- 3530 Lakeland Highlands Rd
Lakeland, FL 33803-4313 - Phone
- (863) 644-9513
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS58568 | FL | Primary |
Addresses
Primary practice location
3530 Lakeland Highlands Rd
Lakeland, FL 33803-4313
Mailing address
19138 Dove Creek Dr
Tampa, FL 33647-3073
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS58568 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1841890944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19138 DOVE CREEK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 LAKELAND HIGHLANDS RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034313",
"telephone_number": "863-644-9513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.