Lisa St. Louis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS53115 Issued in FL

Practice address

4036 S Nova Rd
Port Orange, FL 32127-9276

Phone

(386) 304-8222

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1649608688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740410",
            "telephone_number": "386-281-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279276",
            "telephone_number": "386-304-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. LOUIS",
        "first_name": "LISA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026255",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spruce Creek Family Care
• Spruce Creek Mental Health Services, LLC
• Spruce Dental, LLC (Spruce Dental)
• Anunporn Srisawat, M.D.
• Shannon St Amant, D.C.
• Stacy O'Brien Audiology
• Donna Starcher
• Catherine Susan Stark, RDH, ORALFACIAL MYOL
• Crystal Starkes
• Michelle Mattera Starkey

• Pharmacist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.