Active NPI
Ann Peggy Padiken
- Pharmacist
- Venice, FL
National Provider Identifier
1891250023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49990
- Practice address
- 540 The Rialto
Venice, FL 34285-2900 - Phone
- (941) 483-7730
- NPI assigned
- Feb 1, 2019
- 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 | PS49990 | FL | Primary |
Addresses
Primary practice location
540 The Rialto
Venice, FL 34285-2900
Mailing address
772 Tartan Dr
Venice, FL 34293-4346
Phone (239) 603-5244
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 |
|---|---|---|---|
| PS49990 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1891250023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 TARTAN DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342934346",
"telephone_number": "239-603-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 THE RIALTO",
"city": "VENICE",
"state": "FL",
"postal_code": "342852900",
"telephone_number": "941-483-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADIKEN",
"first_name": "ANN",
"middle_name": "PEGGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.