Active NPI
Jose Marrero, RPH
- Pharmacist
- Orlando, FL
National Provider Identifier
1154711042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22156
- Practice address
- 6101 Lake Ellenor Dr Ste 101
Orlando, FL 32809-4616 - Phone
- (321) 832-1047
- NPI assigned
- Jan 29, 2015
- 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 | PS22156 | FL | Primary |
Addresses
Primary practice location
6101 Lake Ellenor Dr Ste 101
Orlando, FL 32809-4616
Mailing address
6101 Lake Ellenor Dr Ste 101
Orlando, FL 32809-4616
Phone (407) 322-8645
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22156 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Family Health Center | Current | Accepting new patients |
Locations
6101 Lk Ellenor Dr
Ste 101
Orlando, FL 32809
Phone (321) 832-1047
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1265643241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1154711042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 LAKE ELLENOR DR STE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094616",
"telephone_number": "407-322-8645",
"fax_number": "407-956-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 LAKE ELLENOR DR STE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094616",
"telephone_number": "321-832-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "JOSE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.