Active NPI
Demetria Griffin, PHARMD
- Pharmacist
- Orlando, FL
National Provider Identifier
1487196093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50065
- Practice address
- 9600 Parksouth CT Ste 120
Orlando, FL 32837-6424 - Phone
- (877) 453-4566
- Fax
- (866) 537-0877
- NPI assigned
- Nov 14, 2016
- Last updated
- Nov 18, 2020
- 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 | PS50065 | FL | Primary |
Addresses
Primary practice location
9600 Parksouth CT Ste 120
Orlando, FL 32837-6424
Mailing address
6500 Sand Lake Sound Rd Unit 1408
Orlando, FL 32819-7498
Phone (323) 975-7817
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 |
|---|---|---|---|
| PS50065 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| MCR Health, Inc. | 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": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1487196093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 SAND LAKE SOUND RD UNIT 1408",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197498",
"telephone_number": "323-975-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 PARKSOUTH CT STE 120",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376424",
"telephone_number": "877-453-4566",
"fax_number": "866-537-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "DEMETRIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.