Active NPI
Yelisa Enid Reyes Hernandez, PHARMD
- Pharmacist
- Seffner, FL
National Provider Identifier
1104610047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS68443
- Practice address
- 704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534 - Phone
- (813) 681-4431
- NPI assigned
- Apr 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS68443 | FL | Primary |
Addresses
Primary practice location
704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Mailing address
10202 Mangrove Well Rd
Sun City Center, FL 33573-6681
Phone (787) 674-8556
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS68443 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1104610047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10202 MANGROVE WELL RD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736681",
"telephone_number": "787-674-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W DR MARTIN LUTHER KING JR BLVD",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335844534",
"telephone_number": "813-681-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES HERNANDEZ",
"first_name": "YELISA",
"middle_name": "ENID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS68443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.