Active NPI
Sruthy Jose
- Pharmacist
- Orlando, FL
National Provider Identifier
1013513043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61091
- Practice address
- 6790 Central Florida Pkwy
Orlando, FL 32821-6025 - Phone
- (407) 238-4726
- NPI assigned
- Dec 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS61091 | FL | Primary |
Addresses
Primary practice location
6790 Central Florida Pkwy
Orlando, FL 32821-6025
Mailing address
6512 Sand Lake Sound Rd Apt No2311
Orlando, FL 32819-7499
Phone (813) 453-2693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS61091 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS, L.L.C. | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Orlando, FL
- NPI 1447589940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607212800000",
"number": "1013513043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 SAND LAKE SOUND RD APT NO2311",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197499",
"telephone_number": "813-453-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 CENTRAL FLORIDA PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328216025",
"telephone_number": "407-238-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "SRUTHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2020-12-06",
"certification_date": "2020-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.