Individual provider Active NPI

Julie Valdes, PHARMD, CDE, CTTS

  • Pharmacist
  • Fort Pierce, FL
National Provider Identifier
1093377988
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63842 Issued in FL
Practice address
725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone
(772) 925-8402
Fax
(772) 925-8403
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X PS63842 FL
Health Educator 174H00000X 21800740 NJ
Geriatric Pharmacist 1835G0303X 28RI03827600 NJ
Pharmacotherapy Pharmacist 1835P1200X 28RI03827600 NJ
Ambulatory Care Pharmacist 1835P2201X 28RI03827600 NJ
Pharmacist 183500000X PS63842 FL Primary

Addresses

Primary practice location

725 N US Highway 1
Fort Pierce, FL 34950-9125

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200

Other practice location 1

981 37th Pl
Vero Beach, FL 32960-6541
Phone (772) 925-8400

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

LicenseStateTypeSpecialty
PS63842FLMDHealth Educator
21800740NJMDHealth Educator
28RI03827600NJMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1093377988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509125",
            "telephone_number": "772-925-8402",
            "fax_number": "772-925-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 37th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606541",
            "country_code": "US",
            "telephone_number": "772-925-8400",
            "fax_number": "772-925-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CDE, CTTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "PS63842",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NJ",
            "license": "21800740",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": "28RI03827600",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03827600",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NJ",
            "license": "28RI03827600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.