NPIMap

Individual provider Active NPI

Mikel Forero

  • Pharmacist
  • Saint Cloud, FL
National Provider Identifier
1245661891
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS51195 Issued in FL
Practice address
1951 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone
(407) 892-2060
Fax
(407) 892-2064
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS51195 FL Primary

Addresses

Primary practice location

1951 S Narcoossee Rd
Saint Cloud, FL 34771-7211

Mailing address

1951 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone (407) 892-2060

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
PS51195FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1245661891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 S NARCOOSSEE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717211",
            "telephone_number": "407-892-2060",
            "fax_number": "407-892-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 S NARCOOSSEE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717211",
            "telephone_number": "407-892-2060",
            "fax_number": "407-892-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORERO",
        "first_name": "MIKEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.