Active NPI
Desirae Newell, PHARMD
- Pharmacist
- Bushnell, FL
National Provider Identifier
1033639182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56292
- Practice address
- 2163 W C 48
Bushnell, FL 33513-8999 - Phone
- (352) 793-1400
- NPI assigned
- Jun 20, 2017
- Last updated
- Jun 20, 2017
- 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 | PS56292 | FL | Primary |
Addresses
Primary practice location
2163 W C 48
Bushnell, FL 33513-8999
Mailing address
5606 CR 577
Center Hill, FL 33514-4540
Phone (352) 457-7386
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56292 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1033639182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 CR 577",
"city": "CENTER HILL",
"state": "FL",
"postal_code": "335144540",
"telephone_number": "352-457-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 W C 48",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335138999",
"telephone_number": "352-793-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "DESIRAE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bushnell, FL
- Sheri F Morgan, PTA
- Sarah J Moyer, PHARMD.
- Diana K Mullin
- Vijaya L Nagabhairu, MD
- Raihna Maklay Newcomb, PTA
- Joseph Brent Novak, D.M.D
- Osprey Nursing and Rehabilitation, LLC (Osprey Point Nursing Center)
- Osprey of North Florida Inc (Osprey Point Nursing Center)
- Osprey SNF Operations LLC (Osprey Point Nursing Center)
- Angel Gabriel Pagan, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.