Active NPI
Richard Arnold
- Pharmacist
- Lakeland, FL
National Provider Identifier
1043760580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55658
- Practice address
- 311 E Memorial Blvd
Lakeland, FL 33801-1766 - Phone
- (863) 688-1386
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS556581 | FL | |
| Pharmacist | 183500000X | PS55658 | FL | Primary |
Addresses
Primary practice location
311 E Memorial Blvd
Lakeland, FL 33801-1766
Mailing address
311 E Memorial Blvd
Lakeland, FL 33801-1766
Phone (863) 688-1386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS55658 | Other | FL | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Walgreens.com |
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 |
|---|---|---|---|
| PS55658 | FL | MD | Pharmacist |
| PS556581 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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
- Lakeland, FL
- NPI 1740295054
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1043760580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338011766",
"telephone_number": "863-688-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338011766",
"telephone_number": "863-688-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS556581",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PS55658",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Walgreens.com",
"affiliation": "N",
"address_1": "311 E Memorial Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338011766",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.