Provider Demographics
NPI:1841801008
Name:RUMPH, RODDRAKE S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RODDRAKE
Middle Name:S
Last Name:RUMPH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 ALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3207
Mailing Address - Country:US
Mailing Address - Phone:407-628-1899
Mailing Address - Fax:407-628-8842
Practice Address - Street 1:1920 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3207
Practice Address - Country:US
Practice Address - Phone:407-628-1899
Practice Address - Fax:407-628-8842
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist