Active NPI
Angelita Nicolas
- Pharmacy
- Greenacres, FL
National Provider Identifier
1326575622
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Aug 18, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Practice address
- 5869 Lake Worth Rd
Greenacres, FL 33463-3209 - Phone
- (561) 501-1874
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | FL | Primary |
Addresses
Primary practice location
5869 Lake Worth Rd
Greenacres, FL 33463-3209
Mailing address
5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone (561) 501-1874
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326575622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5869 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633209",
"telephone_number": "561-501-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5869 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633209",
"telephone_number": "561-501-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "ANGELITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.