Active NPI
Lydeliz Hernandez Perez
- Pharmacist
- Lake Placid, FL
National Provider Identifier
1053846808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57344
- Practice address
- 2 US Highway 27 S
Lake Placid, FL 33852-9453 - Phone
- (863) 465-1178
- Fax
- (863) 465-2354
- NPI assigned
- Apr 28, 2017
- Last updated
- Dec 26, 2022
- Sex
- Female
- 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 | 4764 | PR | |
| Pharmacist | 183500000X | PS57344 | FL | Primary |
Addresses
Primary practice location
2 US Highway 27 S
Lake Placid, FL 33852-9453
Mailing address
2 US Highway 27 S
Lake Placid, FL 33852-9453
Phone (863) 465-1178
Other practice location 1
70 ave Rio Hondo
bayamon, PR 00961-3157
Phone (787) 795-8436
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 |
|---|---|---|---|
| PS57344 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1053846808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 US HIGHWAY 27 S",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529453",
"telephone_number": "863-465-1178",
"fax_number": "863-465-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 US HIGHWAY 27 S",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529453",
"telephone_number": "863-465-1178",
"fax_number": "863-465-2354"
}
],
"practiceLocations": [
{
"address_1": "70 ave Rio Hondo",
"address_purpose": "LOCATION",
"city": "bayamon",
"state": "PR",
"postal_code": "009613157",
"country_code": "US",
"telephone_number": "787-795-8436",
"fax_number": "787-795-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ PEREZ",
"first_name": "LYDELIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4764",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
- Heartland Pharmacy Lake Placid (Heartland Pharmacy)
- Heartland Pharmacy Lake Placid Inc
- Heartland Pharmacy Lake Placid Inc (Heartland Pharmacy, LTC)
- Michael James Henry, DO
- Gallardo De Grano Hermoso, PT
- Milagros Socooro Hernandez
- Nancy High, MD
- Highlands Elder Care, Inc.
- Highlands Sunshine Services
- Holiday CVS LLC (CVS Pharmacy 03130)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.