Provider Demographics
NPI:1467520247
Name:CONSULTING PHARMACISTS INC.
Entity Type:Organization
Organization Name:CONSULTING PHARMACISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CICCONE
Authorized Official - Suffix:
Authorized Official - Credentials:CPH, RPH, FASCP
Authorized Official - Phone:772-581-5355
Mailing Address - Street 1:28 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3517
Mailing Address - Country:US
Mailing Address - Phone:772-581-5355
Mailing Address - Fax:772-594-7717
Practice Address - Street 1:28 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3517
Practice Address - Country:US
Practice Address - Phone:772-581-5355
Practice Address - Fax:772-581-5893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS17894183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Multi-Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1835G0303XMedicare ID - Type UnspecifiedGERIACTRIC PHARMACIST