Active NPI
Isaac Tapia
- Pharmacist
- Lake Worth, FL
National Provider Identifier
1124845532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67745
- Practice address
- 5970 S Jog Rd
Lake Worth, FL 33467-6590 - Phone
- (561) 649-7415
- NPI assigned
- Sep 25, 2024
- Sex
- Male
- 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 | 67745 | FL | Primary |
Addresses
Primary practice location
5970 S Jog Rd
Lake Worth, FL 33467-6590
Mailing address
324 Minneola Dr
Orlando, FL 32835-5307
Phone (407) 516-1417
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67745 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1124845532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MINNEOLA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355307",
"telephone_number": "407-516-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676590",
"telephone_number": "561-649-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "67745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.