Active NPI
Stephanie Nicole Wills
- Pharmacist
- Spring Hill, FL
National Provider Identifier
1609410588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58204
- Practice address
- 14344 Spring Hill Dr
Spring Hill, FL 34609-8101 - Phone
- (352) 587-6949
- Fax
- (352) 587-6948
- NPI assigned
- Nov 4, 2019
- 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 | PS58204 | FL | Primary |
Addresses
Primary practice location
14344 Spring Hill Dr
Spring Hill, FL 34609-8101
Mailing address
13318 Canopy Grove Dr Apt 201
Tampa, FL 33625-4160
Phone (352) 870-5601
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 |
|---|---|---|---|
| PS58204 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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 and National Provider Directory roles.
-
dba Walmart Pharmacy 10-6207
- Community/Retail Pharmacy
- Spring Hill, FL
- NPI 1720457021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1609410588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13318 CANOPY GROVE DR APT 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254160",
"telephone_number": "352-870-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14344 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098101",
"telephone_number": "352-587-6949",
"fax_number": "352-587-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.