Individual provider Active NPI

Lisa S. Mowatt

  • Pharmacist
  • The Villages, FL
National Provider Identifier
1194439109
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS31745 Issued in FL
Practice address
820 Old Camp Rd
The Villages, FL 32162-5611
Phone
(352) 753-5575
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS31745 FL Primary

Addresses

Primary practice location

820 Old Camp Rd
The Villages, FL 32162-5611

Mailing address

11755 SE Sunset Harbor Rd
Weirsdale, FL 32195-2327
Phone (347) 768-6470

Other practice location 1

820 Camp Road
The Villages, FL 32162
Phone (352) 753-5575

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

LicenseStateTypeSpecialty
PS31745FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1194439109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 SE SUNSET HARBOR RD",
            "city": "WEIRSDALE",
            "state": "FL",
            "postal_code": "321952327",
            "telephone_number": "347-768-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OLD CAMP RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625611",
            "telephone_number": "352-753-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Camp Road",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "32162",
            "country_code": "US",
            "telephone_number": "352-753-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWATT",
        "first_name": "LISA",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.