Active NPI
Latoya Renee Wilcox, RPH
- Pharmacist
- Plant City, FL
National Provider Identifier
1508460890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59207
- Practice address
- 403 N Alexander St
Plant City, FL 33563-4305 - Phone
- (813) 659-4687
- Fax
- (813) 707-1778
- NPI assigned
- Nov 26, 2020
- 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 | PS59207 | FL | Primary |
Addresses
Primary practice location
403 N Alexander St
Plant City, FL 33563-4305
Mailing address
403 N Alexander St
Plant City, FL 33563-4305
Phone (813) 659-4687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS59207 | Other | FL | RPH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cvs | Holiday CVS LLC |
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 |
|---|---|---|---|
| PS59207 | 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 and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Plant City, FL
- NPI 1083718951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1508460890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 N ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335634305",
"telephone_number": "813-659-4687",
"fax_number": "813-707-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 N ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335634305",
"telephone_number": "813-659-4687",
"fax_number": "813-707-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "LATOYA",
"middle_name": "RENEE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-26",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH",
"identifier": "PS59207",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cvs",
"affiliation": "Y",
"affiliationName": "Holiday CVS LLC",
"address_1": "403 N Alexander St",
"city": "Plant City",
"state": "FL",
"country_code": "US",
"postal_code": "335634305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.