Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104431964 Individual Practitioner Female Practitioner

Genesis Carrillo

Pharmacist • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Genesis Carrillo is a registered healthcare professional specializing in Pharmacist in Bradenton, FL. Practice services are available at 4210 E, FL-64 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4210 E, Fl-64

Bradenton, FL 34208

Telephone 9417089161
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1609881846

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
215 Specialists

Practicing in Bradenton, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS61535

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1053020719

Doctor of Pharmacy (Pharm.D.)

Nevien Alla

Pharmacist

NPI 1235785544
NPI 1407406291

Doctor of Pharmacy (Pharm.D.)

NPI 1518248491

Doctor of Pharmacy (Pharm.D.)

Yen Nguyen

Pharmacist

NPI 1881574564

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2020

Registered at 4210 E, FL-64, BRADENTON, FL 34208 (Tel: 9417089161)

📍
Updated Business Mailing Address September 10, 2020

Registered at 4210 E, FL-64, BRADENTON, FL 34208

👤
Provider Name / Credentials Updated September 10, 2020

Recorded as GENESIS CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Pharmacist (License #PS61535 in FL)

🟢
Initial NPI Registration & Enumeration September 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104431964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2020
Last Update: September 10, 2020
Sole Proprietor: No

Mailing Address

4210 E, Fl-64

Bradenton, FL 34208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.