Active NPI
Marie Maggie Duvert, RPH
- Pharmacist
- Lakeland, FL
National Provider Identifier
1326739574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30115
- Practice address
- 1635 Bartow Rd
Lakeland, FL 33801-6585 - Phone
- (863) 686-5161
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30115 | FL | Primary |
Addresses
Primary practice location
1635 Bartow Rd
Lakeland, FL 33801-6585
Mailing address
1635 Bartow Rd
Lakeland, FL 33801-6585
Phone (863) 686-5161
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30115 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1326739574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 BARTOW RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016585",
"telephone_number": "863-686-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 BARTOW RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016585",
"telephone_number": "863-686-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVERT",
"first_name": "MARIE",
"middle_name": "MAGGIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "30115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Tomi Lynn Durrance, H.A.S.
- Dawn Alice Durrell, PA
- Ruby Dussek
- Christi Todd Dutchess, M.S., O.T.R.
- Krystelle Duvert
- Dva Healthcare Renal Care, Inc. (Lakeland Dialysis)
- Dva Renal Healthcare Inc (Lakeland South Dialysis)
- Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Lakeland, N Road 98)
- John Gordian Dwyer, LMHC
- Kaitlyn Dwyer, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.