Idongesit Silas Idiong, PHARM.D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PS 39314 Issued in FL

Practice address

10000 Bay Pines Blvd
Bay Pines VA Healthcare System
Saint Petersburg, FL 33744

Phone

(727) 398-6661

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902909898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 DR MARTIN LUTHER KING JR ST N APT 6206",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161626",
            "telephone_number": "727-374-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES VA HEALTHCARE SYSTEM",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDIONG",
        "first_name": "IDONGESIT",
        "middle_name": "SILAS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS 39314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Icm Associates, Inc.
• Chris Dimitrios Idaris, CPNP-AC
• Malaz Idris
• Patricia Igar, CSCS, LMT, RYT
• Adetoluwa Emmanuel Ijidakinro, MD
• Ramona Nicoleta Ilie, MD
• Michael James Iliff, ARNP

• Pharmacotherapy Pharmacist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.