Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garry Odell Koontz

Individual provider Pharmacist · NPI 1568709400

Garry Odell Koontz is a Pharmacist in North Port, Florida. Licensed in Florida, Georgia and North Carolina. Registered with an NPI since 2013.

Licensed in
FL, GA, NC
In the registry since
2013
Specialties on file
3

Practice location Address checks out

17179 Tamiami Trl
North Port, FL 34287-7291
Phone: (941) 426-8577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS0025245 (FL)
Pharmacist Taxonomy 183500000X · Licence 07806 (NC)
Pharmacist Taxonomy 183500000X · Licence RPH015444 (GA)

Record details

NPI number1568709400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2013
Last updated in NPPESJanuary 11, 2013

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