Joseph Cleveland, RPH – Pharmacist in Pace, FL

Key facts

NPI: 1356624092
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: PS25444 (FL)
Practice address: 3909 Highway 90
Pace, FL 32571-1915
Phone: (850) 994-1363
Fax: (850) 994-2326
NPI assigned: Sep 20, 2011
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Pharmacist

State licenses

License	State	Type	Specialty
11603	AL	MD	Pharmacist
PS25444	FL	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	PS25444	FL	Yes
Pharmacist	183500000X	11603	AL

Addresses

Primary practice location

3909 Highway 90
Pace, FL 32571-1915

Mailing address

3909 Highway 90
Pace, FL 32571-1915
Phone (850) 994-1363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2011.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1356624092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711915",
            "telephone_number": "850-994-1363",
            "fax_number": "850-994-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711915",
            "telephone_number": "850-994-1363",
            "fax_number": "850-994-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS25444",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

All providers in Pace, FL · Pharmacist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.