Active NPI
Teresa Laraine Hamilton, PHARM. D.
- Pharmacist
- Lakeland, FL
National Provider Identifier
1184610891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206466
- Practice address
- 101 Ariana St
Lakeland, FL 33803-2159 - Phone
- (863) 688-5525
- NPI assigned
- Sep 27, 2005
- Last updated
- Jan 29, 2021
- 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 | 0202206466 | VA | Primary |
Addresses
Primary practice location
101 Ariana St
Lakeland, FL 33803-2159
Mailing address
604 N Dover Rd
Dover, FL 33527-5740
Phone (276) 608-0665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010128307 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Smartphone |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206466 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Pharmacy Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Saint Paul, VA
- NPI 1215960323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1184610891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N DOVER RD",
"city": "DOVER",
"state": "FL",
"postal_code": "335275740",
"telephone_number": "276-608-0665",
"fax_number": "276-762-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ARIANA ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032159",
"telephone_number": "863-688-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "TERESA",
"middle_name": "LARAINE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010128307",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Smartphone",
"affiliation": "N",
"address_1": "101 Ariana St",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338032159",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.