Active NPI
Juan Luis Oquendo, RPH
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1578153748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36173
- Practice address
- 8151 Dr Martin Luther King St N
Saint Petersburg, FL 33702-4111 - Phone
- (727) 576-3826
- NPI assigned
- Jan 21, 2021
- Last updated
- Oct 17, 2023
- Sex
- Male
- 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 | PS36173 | FL | Primary |
Addresses
Primary practice location
8151 Dr Martin Luther King St N
Saint Petersburg, FL 33702-4111
Mailing address
8151 Dr Martin Luther King St N
Saint Petersburg, FL 33702-4111
Phone (727) 576-3826
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 |
|---|---|---|---|
| PS36173 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | 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, 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": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1578153748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8151 DR MARTIN LUTHER KING ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337024111",
"telephone_number": "727-576-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8151 DR MARTIN LUTHER KING ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337024111",
"telephone_number": "727-576-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUENDO",
"first_name": "JUAN",
"middle_name": "LUIS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-21",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Optimum Home Care of Florida LLC
- Optimum in-Home Aide Agency LLC (Optimum Home Care of Florida)
- Options Medical Clinical, P.a.
- Optumcare Florida LLC (DaVita Medical Group)
- Ana C Oquendo, MD
- Oral Surgery Centers of America, LLC
- Orion Medical Equipments LLC
- Orion T. Ayer Jr. MD PA (The Retina Insitute)
- Orlando Family Physicians, LLC (Waters Medical Clinic)
- Orlando Health Inc (Orlando Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.