Active NPI
Lisa S. Mowatt
- Pharmacist
- The Villages, FL
National Provider Identifier
1194439109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS31745
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS31745 | FL | MD | Pharmacist |
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.