Active NPI
Michelle L Alfonso, PHARMD
- Pharmacist
- Tampa, FL
National Provider Identifier
1477622843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS33346
- Practice address
- 10205 Lake Carroll Way
Tampa, FL 33618-4405 - Phone
- (813) 961-8798
- Fax
- (813) 962-0092
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- 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 | PS33346 | FL | Primary |
Addresses
Primary practice location
10205 Lake Carroll Way
Tampa, FL 33618-4405
Mailing address
26928 Villa Tuscany Dr
Wesley Chapel, FL 33544
Phone (813) 994-6833
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 |
|---|---|---|---|
| PS33346 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp Holdings, LLC | Past | 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, 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": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477622843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26928 VILLA TUSCANY DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33544",
"telephone_number": "813-994-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10205 LAKE CARROLL WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184405",
"telephone_number": "813-961-8798",
"fax_number": "813-962-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.