Active NPI
Carin D Bralts
- Pharmacist
- Lake Placid, FL
National Provider Identifier
1588900104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49938
- Practice address
- 342 E Royal Palm St
Lake Placid, FL 33852-5019 - Phone
- (863) 449-1006
- NPI assigned
- Dec 31, 2012
- 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 | PS49938 | FL | Primary |
Addresses
Primary practice location
342 E Royal Palm St
Lake Placid, FL 33852-5019
Mailing address
342 E Royal Palm St
Lake Placid, FL 33852-5019
Phone (863) 449-1006
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49938 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1588900104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 E ROYAL PALM ST",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338525019",
"telephone_number": "863-449-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 E ROYAL PALM ST",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338525019",
"telephone_number": "863-449-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRALTS",
"first_name": "CARIN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-31",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.