Active NPI
Amanda Marie Laurenzo, PHARM D
- Pharmacist
- Seminole, FL
National Provider Identifier
1063717155
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 18, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45657
- Practice address
- 10981 99TH PL
Seminole, FL 33772-2453 - Phone
- (727) 392-3019
- NPI assigned
- Jan 20, 2011
- 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 | PS45657 | FL | Primary |
Addresses
Primary practice location
10981 99TH PL
Seminole, FL 33772-2453
Mailing address
10981 99TH PL
Seminole, FL 33772-2453
Phone (727) 392-3019
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS45657 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1063717155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10981 99TH PL",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722453",
"telephone_number": "727-392-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10981 99TH PL",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722453",
"telephone_number": "727-392-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENZO",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
- Lake Balaton, Inc. (The Villas of Casa Celeste)
- Lake Seminole Square Management Company, LLC (Lake Seminole Square)
- Lakeside Optical Inc
- Peter S Lally, RPT
- Allen Dwayne Lamasco
- Keanan Lawrence, AGACNP-BC
- Thanh Thien Le, MD
- Learning Ladders Therapy Solutions, LLC
- Colleen Leclair, BCBA
- Brandon Lee, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.