Provider Demographics
NPI:1073267258
Name:YANY, JONE (RPH)
Entity Type:Individual
Prefix:
First Name:JONE
Middle Name:
Last Name:YANY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 N BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2138
Mailing Address - Country:US
Mailing Address - Phone:727-447-6622
Mailing Address - Fax:727-446-2288
Practice Address - Street 1:756 N BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2138
Practice Address - Country:US
Practice Address - Phone:727-447-6622
Practice Address - Fax:727-446-2288
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist