Active NPI
Megan Lane
- Pharmacist
- Fort Pierce, FL
National Provider Identifier
1194290601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58334
- Practice address
- 1700 S 23Rd St
Fort Pierce, FL 34950-4803 - Phone
- (772) 461-4000
- NPI assigned
- Oct 11, 2018
- 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 | PS58334 | FL | Primary |
Addresses
Primary practice location
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Mailing address
5927 Ridge Lake Cir
Vero Beach, FL 32967-2939
Phone (772) 584-0818
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 |
|---|---|---|---|
| PS58334 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1194290601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 RIDGE LAKE CIR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329672939",
"telephone_number": "772-584-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S 23RD ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504803",
"telephone_number": "772-461-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.