Active NPI
Elizabeth Warren Selva
- Pharmacist
- Ocala, FL
National Provider Identifier
1598360430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56461
- Practice address
- 2449 E Silver Springs Blvd
Ocala, FL 34470-6908 - Phone
- (352) 401-9492
- NPI assigned
- Nov 30, 2020
- 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 | PS56461 | FL | Primary |
Addresses
Primary practice location
2449 E Silver Springs Blvd
Ocala, FL 34470-6908
Mailing address
5400 NW 39TH Ave Apt E29
Gainesville, FL 32606-6948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS56461 | Other | FL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Cvs01813@cvshealth.com |
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 |
|---|---|---|---|
| PS56461 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Interoperability endpoints
- cvs01813@cvshealth.com
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1598360430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 NW 39TH AVE APT E29",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 E SILVER SPRINGS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344706908",
"telephone_number": "352-401-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVA",
"first_name": "ELIZABETH",
"middle_name": "WARREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PS56461",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Cvs01813@cvshealth.com",
"affiliation": "N",
"address_1": "2449 E Silver Springs Blvd",
"city": "Ocala",
"state": "FL",
"country_code": "US",
"postal_code": "344706908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.