Janice M Koontz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0021867 Issued in FL

Practice address

13435 S McCall Rd
Port Charlotte, FL 33981-6422

Phone

(941) 697-3255

Fax

(941) 697-7826

NPI assigned

Jan 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Port Charlotte, FL
  • NPI 1700825676
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1972840650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 S MCCALL RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816422",
            "telephone_number": "941-697-3255",
            "fax_number": "941-697-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13435 S MCCALL RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816422",
            "telephone_number": "941-697-3255",
            "fax_number": "941-697-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "JANICE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0021867",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH015528",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP034835L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kitchener, APRN
• Alyssa Michelle Klein, MSN FNP-BC
• Joanna Madonna Kluesner, OD
• Janie Knight, M.S. CCC-SLP
• Nicholas M Koch, RPHT
• George Cyriac Koppuzha, MD
• Nathan Koranteng, ACNP-BC
• Laura R Korman, D.C., P.A.
• Eniko Korodi
• Susan Koss, MS.CCC-SLP

• Pharmacist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.