Brian Staley

Pharmacist · Wimauma, FL

Individual Active NPI

NPI number 1265032718

Practice location

4928 State Road 674
Wimauma, FL 33598-3510
Phone
(813) 633-1463

Open in Google Maps

NPI record

NPI
1265032718
Entity type
Individual (Type 1)
Enumeration date
October 26, 2020
Last updated
October 26, 2020
Certified
October 26, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS0028729 FL

Mailing address

2310 Ray Rd
Valrico, FL 33594-4618

About Brian Staley

Brian Staley is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4928 State Road 674, Wimauma, FL 33598-3510. The NPI number 1265032718 was assigned on October 26, 2020 and the record was last updated on October 26, 2020.

Brian Staley lists a license in the registry: #PS0028729 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Staley?

The NPI number is 1265032718.

What is the phone number of Brian Staley?

The phone number listed for the practice location is (813) 633-1463.

Where is Brian Staley located?

4928 State Road 674, Wimauma, FL 33598-3510.

What is the taxonomy code for Brian Staley?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Wimauma

All Pharmacist providers in Wimauma, FL →