Individual provider Active NPI

Caroline Edmunds

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1497162788
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52012 Issued in FL
Practice address
4750 Millenia Plaza Way
Orlando, FL 32839-2412
Phone
(407) 541-0020
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52012 FL Primary

Addresses

Primary practice location

4750 Millenia Plaza Way
Orlando, FL 32839-2412

Mailing address

4750 Millenia Plaza Way
Orlando, FL 32839-2412
Phone (407) 541-0020

Other practice location 1

3527 Molona Dr
Orlando, FL 32837-5829
Phone (407) 701-5490

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

State licenses

LicenseStateTypeSpecialty
PS52012FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1497162788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 MILLENIA PLAZA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392412",
            "telephone_number": "407-541-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 MILLENIA PLAZA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392412",
            "telephone_number": "407-541-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3527 Molona Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328375829",
            "country_code": "US",
            "telephone_number": "407-701-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "CAROLINE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52012",
            "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 Dec 10, 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.

Verify at the official NPI Registry.