Individual provider Active NPI

Robert James Fournier, RPH

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1982103255
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS28547 Issued in FL
Practice address
2025 Sylvester Rd Unit J2
Lakeland, FL 33803-3577
Phone
(863) 337-6939
Fax
(863) 248-7682
NPI assigned
Feb 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS28547 FL Primary

Addresses

Primary practice location

2025 Sylvester Rd Unit J2
Lakeland, FL 33803-3577

Mailing address

2025 Sylvester Rd Unit J2
Lakeland, FL 33803-3577
Phone (863) 337-6939

Other identifiers 1

IdentifierTypeStateIssuer
PS28547OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS28547FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1982103255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SYLVESTER RD UNIT J2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033577",
            "telephone_number": "863-337-6939",
            "fax_number": "863-248-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SYLVESTER RD UNIT J2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033577",
            "telephone_number": "863-337-6939",
            "fax_number": "863-248-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PS28547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.