MEDICARE: ROBERT POWELL IV RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS20401	FL

General Provider Information

NPI Number	:	1720687338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT POWELL IV RPH

Provider Business Mailing Address
First Line	:	4115 KIPLING AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-9521
Country	:	US
Telephone Number	:	813-757-6638
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 W ALEXANDER ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-7158
Country	:	US
Telephone Number	:	813-754-9449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	11/19/2020

Similar Medicare Providers

1780751990 — ROBERT E REECE RPH
Practice Location Address:

205 W ALEXANDER ST
PLANT CITY, FL
33563-7158

Practice Phone: 813-754-9449
Practice Fax: 813-719-7902

1275664807 — MR. AVON JACKSON PEACOCK RPH
Practice Location Address:

205 W ALEXANDER ST
PLANT CITY, FL
33563-7158

Practice Phone: 813-754-9449
Practice Fax: 813-719-7902

1053939637 — DR. ANUSHA JOSEPH
Practice Location Address:

2875 E LEAGUE CITY PKWY
LEAGUE CITY, TX
77573-7158

Practice Phone: 832-913-5805
Practice Fax:

1932190964 — DR. JAMES ASHLEY HANCOCK D.D.S.
Practice Location Address:

6010 N VILLA AVE
OKLAHOMA CITY, OK
73112-7158

Practice Phone: 405-843-5537
Practice Fax:

1619183480 — MRS. MELANIE ANN KELLY MCD, CCC-SLP
Practice Location Address:

2326 DAWSON CIR
ALEXANDER CITY, AL
35010-7158

Practice Phone: 256-234-4616
Practice Fax:

1154875896 — IDEAL DENTAL OF LEAGUE CITY PLLC
Practice Location Address:

2875 E LEAGUE CITY PKWY , SUITE 800
LEAGUE CITY, TX
77573-7158

Practice Phone: 832-905-0210
Practice Fax:

Directions to “ ROBERT POWELL IV RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.