Active NPI
Alton Graydon Cumberbatch Sr., PHARMACIST
- Pharmacist
- Winter Garden, FL
National Provider Identifier
1871078089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS21620
- Practice address
- 646 S. Dillard Street
Winter Garden, FL 34787 - Phone
- (407) 761-6286
- NPI assigned
- Oct 3, 2018
- Sex
- Male
- 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 | PS21620 | FL | Primary |
Addresses
Primary practice location
646 S. Dillard Street
Winter Garden, FL 34787
Mailing address
2206 Blossomwood Drive
Oviedo, FL 32765
Phone (407) 761-6286
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 |
|---|---|---|---|
| PS21620 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1871078089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 BLOSSOMWOOD DRIVE",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-761-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 S. DILLARD STREET",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-761-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERBATCH",
"first_name": "ALTON",
"middle_name": "GRAYDON",
"name_suffix": "Sr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.