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DOUGLAS WYNN STATEN RPH
NPI 1487721890
Pharmacist in Daytona Beach Shores, FL

Active since November 29, 2006
3422 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118(386) 756-0481(386) 756-0498 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Wynn Staten Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS WYNN STATEN RPH (NPI 1487721890) is an individual pharmacist in Daytona Beach Shores, Florida, licensed in Georgia (RPH021909) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1487721890
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDOUGLAS WYNN STATENCredential: RPH
Location Address3422 S ATLANTIC AVEDaytona Beach Shores, FL 32118-6349
Mailing Address1425 S Peninsula DrDaytona Beach, FL 32118-4829 · (404) 218-9704 · Fax (386) 236-9341
Phone(386) 756-0481
Fax(386) 756-0498
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 22, 2020
NPPES CertifiedNovember 22, 2020
✔ NPI 1487721890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in GA · RPH021909✔ Licensed in FL · PS44814✔ Licensed in MS · E-08338
Definition
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.
3422 S ATLANTIC AVE, Daytona Beach Shores, FL 32118
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLIDAY CVS LLC
Pharmacy
3422 S ATLANTIC AVE
DAYTONA BEACH SHORES, FL 32118
Volusia County (386) 756-0481
DR. JOSEPH SOLACK PHARMD.
Pharmacist
3422 S ATLANTIC AVE
DAYTONA BEACH, FL 32118
Volusia County (386) 756-0481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Staten's NPI number?

The NPI number for Douglas Staten is 1487721890. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Douglas Staten located?

Douglas Staten practices at 3422 S Atlantic Ave, Daytona Beach Shores, FL 32118. The listed phone number is (386) 756-0481.

What is Douglas Staten's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Douglas Staten was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.