Active NPI
Douglas A Sherwin, MS, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1952465692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28960
- Practice address
- 12902 Magnolia Drive
Department of Pharmacy
Tampa, FL 33612-9416 - Phone
- (813) 979-3080
- Fax
- (813) 979-3994
- NPI assigned
- Dec 20, 2006
- 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 | PS28960 | FL | Primary |
Addresses
Primary practice location
12902 Magnolia Drive
Department of Pharmacy
Tampa, FL 33612-9416
Mailing address
15102 Kestrelrise Dr
Lithia, FL 33547-4832
Phone (813) 685-8181
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28960 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952465692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15102 KESTRELRISE DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474832",
"telephone_number": "813-685-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12902 MAGNOLIA DRIVE",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129416",
"telephone_number": "813-979-3080",
"fax_number": "813-979-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWIN",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "MS, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- 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.