Active NPI
Henry Richard Collins, PHARMD
- Geriatric Pharmacist
- Orlando, FL
National Provider Identifier
1952063836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PS28213
- Practice address
- 14861 Bonnybridge Dr
Orlando, FL 32826-4119 - Phone
- (727) 644-3861
- Fax
- (497) 641-8905
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PS28213 | FL | Primary |
Addresses
Primary practice location
14861 Bonnybridge Dr
Orlando, FL 32826-4119
Mailing address
14861 Bonnybridge Dr
Orlando, FL 32826-4119
Phone (172) 764-4386
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 |
|---|---|---|---|
| PS28213 | FL | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1952063836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14861 BONNYBRIDGE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264119",
"telephone_number": "172-764-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14861 BONNYBRIDGE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264119",
"telephone_number": "727-644-3861",
"fax_number": "497-641-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "HENRY",
"middle_name": "RICHARD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "FL",
"license": "PS28213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.