Provider Demographics
NPI:1962376426
Name:VILLAR, FERNANDO EMMANUEL (PHARMD)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:EMMANUEL
Last Name:VILLAR
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 1:12027 NORTHUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1313
Mailing Address - Country:US
Mailing Address - Phone:787-396-9090
Mailing Address - Fax:
Practice Address - Street 1:12027 NORTHUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1313
Practice Address - Country:US
Practice Address - Phone:787-396-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8264183500000X
TN47361183500000X
FL69649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist