Individual provider Active NPI

Leusely Phicil, PHARMD

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1205430543
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS55147 Issued in FL
Practice address
880 Sand Lake Rd
Orlando, FL 32809-7710
Phone
(407) 587-0005
NPI assigned
Nov 27, 2020
Last updated
Nov 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS55147 FL Primary

Addresses

Primary practice location

880 Sand Lake Rd
Orlando, FL 32809-7710

Mailing address

880 Sand Lake Rd
Orlando, FL 32809-7710
Phone (407) 587-0005

Other practice location 1

880 Sand Lake Rd
Orlando, FL 32809-7710
Phone (407) 587-0005

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

LicenseStateTypeSpecialty
PS55147FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1205430543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097710",
            "telephone_number": "407-587-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097710",
            "telephone_number": "407-587-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Sand Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097710",
            "country_code": "US",
            "telephone_number": "407-587-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHICIL",
        "first_name": "LEUSELY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55147",
            "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 Nov 27, 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.

Verify at the official NPI Registry.