Purita Van Cleave

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS57048 Issued in FL

Practice address

4536 53Rd Ave E
Bradenton, FL 34203-4112

Phone

(941) 213-6910

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Bradenton, FL
  • NPI 1619336914
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1063055044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 COPPERLEFE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122406",
            "telephone_number": "941-238-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034112",
            "telephone_number": "941-213-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLEAVE",
        "first_name": "PURITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017095200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pvancle.s07307.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "4536 53rd Ave E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342034112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Valenti, DO
• Janet Valerio, MA, LMHC
• Nereida Valle, CRNA
• Dutch Mark Van Alstin
• Emily Van Buren, MOTR/L
• Ana Maria Van Der Wall, MD
• Bethany Van Waardhuizen, LMHC
• Karla Jo Vanbeek, MSOTR
• Margaret A Vance, LMT
• Leah Marie Vanderkooy, LPC

• Pharmacist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.