Individual provider Active NPI

Keri Denise Hames

  • Pharmacist
  • Largo, FL
National Provider Identifier
1851976708
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61786 Issued in FL
Practice address
2200 Tall Pines Dr Ste 118
Largo, FL 33771-5318
Phone
(727) 524-9333
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61786 FL Primary

Addresses

Primary practice location

2200 Tall Pines Dr Ste 118
Largo, FL 33771-5318

Mailing address

434 41St Ave S
Saint Petersburg, FL 33705-3950
Phone (727) 455-6808

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

LicenseStateTypeSpecialty
PS61786FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1851976708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 41ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337053950",
            "telephone_number": "727-455-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TALL PINES DR STE 118",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715318",
            "telephone_number": "727-524-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMES",
        "first_name": "KERI",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.