John R. Renick, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 28749 Issued in FL

Practice address

2 E Magnolia Ave
Eustis, FL 32726-3417

Phone

(352) 357-4341

Fax

(352) 357-5107

NPI assigned

Feb 13, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Pharmacy, Inc.

  dba Lake Pharmacy- Tavares

  • Community/Retail Pharmacy
  • Eustis, FL
  • NPI 1295829638
  NPD (past)
• Bay Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Eustis, FL
  • NPI 1639262280
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1962544114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAGNOLIA AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263417",
            "telephone_number": "352-357-4341",
            "fax_number": "352-357-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAGNOLIA AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263417",
            "telephone_number": "352-357-4341",
            "fax_number": "352-357-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENICK",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 28749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Ann Rex
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• Pharmacist in Eustis, FL
• Providers in Eustis, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.