Healthcare Provider Details

I. General information

NPI: 1518896018
Provider Name (Legal Business Name): KRISTY BEDIKIAN WHITE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTY WHITE PHARM D

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 ORIOLE LN
JUPITER FL
33458-8360
US

IV. Provider business mailing address

463 ORIOLE LN
JUPITER FL
33458-8360
US

V. Phone/Fax

Practice location:
  • Phone: 954-448-9048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36708
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: