Individual provider Active NPI

Tina Mumley

  • Pharmacist
  • Lady Lake, FL
National Provider Identifier
1124936398
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS71300 Issued in FL
Practice address
1451 El Camino Real
Lady Lake, FL 32159-0041
Phone
(352) 751-8000
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS71300 FL Primary

Addresses

Primary practice location

1451 El Camino Real
Lady Lake, FL 32159-0041

Mailing address

2115 Sandridge Cir
Eustis, FL 32726-4487
Phone (352) 431-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1124936398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SANDRIDGE CIR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264487",
            "telephone_number": "352-431-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 EL CAMINO REAL",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321590041",
            "telephone_number": "352-751-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMLEY",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS71300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.