Provider Demographics
NPI:1033916770
Name:KOUNG, DEVI (RPH)
Entity type:Individual
Prefix:
First Name:DEVI
Middle Name:
Last Name:KOUNG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 FRUITVILLE RD # 1-101
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5222
Mailing Address - Country:US
Mailing Address - Phone:941-355-8330
Mailing Address - Fax:941-355-8330
Practice Address - Street 1:2641 FRUITVILLE RD # 1-101
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5222
Practice Address - Country:US
Practice Address - Phone:941-355-8330
Practice Address - Fax:941-355-8330
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45954183500000X, 1835C0207X, 1835N1003X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support