Active NPI
Patricia Lynn Tice, RPH
- Pharmacist
- Gainesville, FL
National Provider Identifier
1235198557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28714
- Practice address
- 2140 Stadium Rd Ste 1001
Gainesville, FL 32611-7500 - Phone
- (352) 392-1760
- Fax
- (352) 846-1521
- NPI assigned
- Mar 23, 2006
- 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 | PS28714 | FL | Primary |
Addresses
Primary practice location
2140 Stadium Rd Ste 1001
Gainesville, FL 32611-7500
Mailing address
2742 NW 138TH Ter
Gainesville, FL 32606-5398
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28714 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1235198557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 NW 138TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326065398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 STADIUM RD STE 1001",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326117500",
"telephone_number": "352-392-1760",
"fax_number": "352-846-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.