Individual provider Active NPI

Robin Fail, PHARM.D.

  • Pharmacist
  • St Petersburg, FL
National Provider Identifier
1912242835
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37872 Issued in FL
Practice address
620 10TH St N Ste 101
Saint Petersburg, FL 33705-1407
Phone
(727) 502-4144
Fax
(727) 502-4143
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37872 FL Primary

Addresses

Primary practice location

620 10TH St N Ste 101
Saint Petersburg, FL 33705-1407

Mailing address

620 10TH St N Ste 101
Saint Petersburg, FL 33705-1407
Phone (727) 502-4144

Other identifiers 1

IdentifierTypeStateIssuer
PS37872OtherFLFL PHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robin.sistrunk@publix.com

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

LicenseStateTypeSpecialty
PS37872FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1912242835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 10TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-502-4144",
            "fax_number": "727-502-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-502-4144",
            "fax_number": "727-502-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIL",
        "first_name": "ROBIN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL PHARMACY LICENSE",
            "identifier": "PS37872",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robin.sistrunk@publix.com",
            "affiliation": "N",
            "address_1": "620 10th St N Ste 101",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337051407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.