Active NPI
Robert Scott Lillien
- Pharmacy Technician
- Zephyrhills, FL
National Provider Identifier
1659647634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT12772
- Practice address
- 6429 Gall Blvd
Zephyrhills, FL 33542-2570 - Phone
- (813) 782-9571
- NPI assigned
- Mar 24, 2012
- Last updated
- Mar 24, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT12772 | FL | Primary |
Addresses
Primary practice location
6429 Gall Blvd
Zephyrhills, FL 33542-2570
Mailing address
6429 Gall Blvd
Zephyrhills, FL 33542-2570
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 |
|---|---|---|---|
| RPT12772 | FL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1332547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332547200000",
"number": "1659647634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6429 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335422570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6429 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335422570",
"telephone_number": "813-782-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLIEN",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-24",
"last_updated": "2012-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT12772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.