Active NPI
John Vincent Broccio, PHARMD
- Pharmacist
- The Villages, FL
National Provider Identifier
1902272115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53771
- Practice address
- 8780 SE 165TH Mulberry LN
The Villages, FL 32162-5861 - Phone
- (352) 751-0301
- NPI assigned
- Aug 11, 2015
- 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 | PS53771 | FL | Primary |
Addresses
Primary practice location
8780 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Mailing address
10448 SW 52ND CT
Ocala, FL 34476-9411
Phone (352) 207-1790
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 |
|---|---|---|---|
| PS53771 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1902272115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10448 SW 52ND CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344769411",
"telephone_number": "352-207-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8780 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625861",
"telephone_number": "352-751-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCCIO",
"first_name": "JOHN",
"middle_name": "VINCENT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.