Active NPI
Tina Mumley
- Pharmacist
- Lady Lake, FL
National Provider Identifier
1124936398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS71300
- 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
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 | 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.