Active NPI
Billie J Ebersole
- Pharmacist
- Middleburg, FL
National Provider Identifier
1851614440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45212
- Practice address
- 2675 Blanding Blvd
Middleburg, FL 32068-2301 - Phone
- (904) 291-4375
- NPI assigned
- Mar 10, 2010
- Last updated
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PS45212 | FL | Primary |
Addresses
Primary practice location
2675 Blanding Blvd
Middleburg, FL 32068-2301
Mailing address
2675 Blanding Blvd
Middleburg, FL 32068-5171
Phone (904) 291-4375
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS45212 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1851614440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 BLANDING BLVD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320685171",
"telephone_number": "904-291-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 BLANDING BLVD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320682301",
"telephone_number": "904-291-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERSOLE",
"first_name": "BILLIE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.