Individual provider Active NPI

Joanne Lares

  • Pharmacist
  • Davie, FL
National Provider Identifier
1275818866
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS00028639 Issued in FL
Practice address
15032 SW 36TH St
Davie, FL 33331-2736
Phone
(954) 294-8679
NPI assigned
Oct 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS00028639 FL Primary

Addresses

Primary practice location

15032 SW 36TH St
Davie, FL 33331-2736

Mailing address

15032 SW 36TH St
Davie, FL 33331-2736
Phone (954) 236-4777

Other practice location 1

15032 SW 36th St
The Clever Chemist
Davie, FL 33331-2736
Phone (954) 294-8679

Other names 1

  • Joanne Lares Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.cleverchemistpharmacy.com

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
PS00028639FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Clever Chemist, LLC CurrentSince Mar 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1275818866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15032 SW 36TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312736",
            "telephone_number": "954-236-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15032 SW 36TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312736",
            "telephone_number": "954-294-8679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15032 SW 36th St",
            "address_2": "The Clever Chemist",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333312736",
            "country_code": "US",
            "telephone_number": "954-294-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARES",
        "first_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS00028639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cleverchemistpharmacy.com",
            "affiliation": "N",
            "address_1": "15032 SW 36th St",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333312736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "LARES",
            "credential": "JOANNE LARES, RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.