Active NPI
Osmel Loreto Maestre
- Pharmacist
- Lake Worth, FL
National Provider Identifier
1609247584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53840
- Practice address
- 5970 S Jog Rd
Lake Worth, FL 33467-6590 - Phone
- (561) 649-7415
- NPI assigned
- Oct 17, 2015
- Last updated
- Sep 21, 2020
- 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 | PS53840 | FL | Primary |
Addresses
Primary practice location
5970 S Jog Rd
Lake Worth, FL 33467-6590
Mailing address
1136 W Mountain Dr
West Palm Beach, FL 33406-4932
Phone (561) 827-2967
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 |
|---|---|---|---|
| PS53840 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1609247584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 W MOUNTAIN DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334064932",
"telephone_number": "561-827-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676590",
"telephone_number": "561-649-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAESTRE",
"first_name": "OSMEL",
"middle_name": "LORETO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-17",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.