Active NPI
Kecia Porter
- Pharmacist
- Lakeland, FL
National Provider Identifier
1245666312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS30011
- Practice address
- 4445 US Highway 98 N
Lakeland, FL 33809-0402 - Phone
- (863) 815-2343
- NPI assigned
- Sep 20, 2013
- Last updated
- Jan 3, 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 | PS30011 | FL | Primary |
Addresses
Primary practice location
4445 US Highway 98 N
Lakeland, FL 33809-0402
Mailing address
4445 US Highway 98 N
Lakeland, FL 33809-0402
Phone (863) 815-2343
Other practice location 1
1602 W Brandon Blvd
Brandon, FL 33511-4808
Phone (813) 685-0871
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 |
|---|---|---|---|
| PS30011 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1245666312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338090402",
"telephone_number": "863-815-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338090402",
"telephone_number": "863-815-2343"
}
],
"practiceLocations": [
{
"address_1": "1602 W Brandon Blvd",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335114808",
"country_code": "US",
"telephone_number": "813-685-0871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "KECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS30011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.