Individual provider Active NPI

Emma Jane Clegg, PHARMD

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1124507512
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58119 Issued in FL
Practice address
9310 Southpark Center Loop
Orlando, FL 32819-8634
Phone
(407) 845-6774
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58119 FL Primary

Addresses

Primary practice location

9310 Southpark Center Loop
Orlando, FL 32819-8634

Mailing address

9310 Southpark Center Loop
Orlando, FL 32819-8634
Phone (407) 845-6774

Other practice location 1

4795 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5332
Phone (407) 594-0030

Other practice location 2

4750 Millenia Plaza Way
Orlando, FL 32839-2412
Phone (407) 541-0020

Other names 1

  • Emma Jane Lumpkin Former name

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
58119FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1124507512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 SOUTHPARK CENTER LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198634",
            "telephone_number": "407-845-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 SOUTHPARK CENTER LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198634",
            "telephone_number": "407-845-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 W Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347465332",
            "country_code": "US",
            "telephone_number": "407-594-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Millenia Plaza Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328392412",
            "country_code": "US",
            "telephone_number": "407-541-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "EMMA",
        "middle_name": "JANE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "58119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "LUMPKIN",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.