J. Agustin Lacson M.D. Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J. AGUSTIN LACSON M.D. INC

Doing business as

Lacson MD Community Pharmacy

Practice address

537 E Central Ave
Winter Haven, FL 33880-3001

Phone

(863) 320-3530

NPI assigned

Feb 6, 2025

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

J. AGUSTIN LACSON M.D. INCAs reported in NPPES

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

Authorized official

Name

Janice Croskery

Title

Authorized Official/ Employee

Phone

(863) 385-6700

Specialties & licenses 2

Addresses

Other names 1

• Lacson MD Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• J. Agustin Lacson M.D. Inc

  • Infectious Disease Physician
  • Avon Park, FL
  • NPI 1619931821

  3375434491

  Same PAC ID

Tax ID family

J Agustin Lacson MD Inc2 organizations share this tax ID, including this one

Part of

J Agustin Lacson MD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J. Agustin Lacson M.D. Inc

  • Infectious Disease Physician
  • Avon Park, FL
  • NPI 1619931821
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• J. Agustin Lacson M.D. Inc

  • Infectious Disease Physician
  • Avon Park, FL
  • NPI 1619931821
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J. Agustin Lacson, M.D.

  • Infectious Disease Physician
  • Avon Park, FL
  • NPI 1831153055
  NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1093529315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803001",
            "telephone_number": "863-320-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803001",
            "telephone_number": "863-320-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. AGUSTIN LACSON M.D. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J. AGUSTIN LACSON M.D. INC",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CROSKERY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ EMPLOYEE",
        "authorized_official_telephone_number": "863-385-6700"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacson MD Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Prosthetics and Orthotics, LLC (Integrity Prosthetics and Orthotics)
• Internal Medicine Group of Winter Haven,P.a.
• Susan Iskowitz, LCSW
• Esaam El-Dean Ismail, O.D.
• Sherif Isshak Ibrahim, MD
• J&Y Assisted Living for the Ages
• Jackson Diagnostic Imaging, Inc
• Daniel Jackson, COTA
• Jillian J Jackson, LCSW
• Patrice Jackson

• Community/Retail Pharmacy in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.