Active NPI
Micaela Rachel-Lynette Santos, PHARM D.
- Pharmacist
- Quincy, FL
National Provider Identifier
1275967432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50852
- Practice address
- 1632 W Jefferson St
Quincy, FL 32351-2134 - Phone
- (850) 627-4686
- NPI assigned
- Aug 23, 2013
- 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 | PS50852 | FL | Primary |
Addresses
Primary practice location
1632 W Jefferson St
Quincy, FL 32351-2134
Mailing address
2750 Old Saint Augustine Rd Apt H79
Tallahassee, FL 32301-6225
Phone (901) 283-1674
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS50852 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1275967432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 OLD SAINT AUGUSTINE RD APT H79",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323016225",
"telephone_number": "901-283-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 W JEFFERSON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512134",
"telephone_number": "850-627-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MICAELA",
"middle_name": "RACHEL-LYNETTE",
"name_prefix": "Mrs.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.