Active NPI
Jill Margaret Waldrop, PHARMD, MD
- Pharmacist
- Lakeland, FL
National Provider Identifier
1578859633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25377
- Practice address
- 6600 N. Socrum Loop
Lakeland, FL 33809 - Phone
- (863) 859-3611
- Fax
- (863) 859-6170
- NPI assigned
- Jun 27, 2011
- 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 | 25377 | FL | Primary |
Addresses
Primary practice location
6600 N. Socrum Loop
Lakeland, FL 33809
Mailing address
6600 N Socrum Loop Rd
Lakeland, FL 33809-4181
Phone (863) 859-3611
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 Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25377 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1578859633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 N SOCRUM LOOP RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094181",
"telephone_number": "863-859-3611",
"fax_number": "863-859-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 N. SOCRUM LOOP",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33809",
"telephone_number": "863-859-3611",
"fax_number": "863-859-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "JILL",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PHARMD, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "25377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.