Provider Demographics
NPI:1902515117
Name:SCHMIDA, KEVIN BRADY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:BRADY
Last Name:SCHMIDA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30436 POINCIANA RD
Mailing Address - Street 2:
Mailing Address - City:BIG PINE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33043-4734
Mailing Address - Country:US
Mailing Address - Phone:850-273-2133
Mailing Address - Fax:
Practice Address - Street 1:30351 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:BIG PINE KEY
Practice Address - State:FL
Practice Address - Zip Code:33043-3413
Practice Address - Country:US
Practice Address - Phone:305-872-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist