Active NPI
Lorilee Dizon, PHARMD
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1689929903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49215
- Practice address
- 4201 Belfort Rd
Jacksonville, FL 32216-1431 - Phone
- (904) 296-3770
- NPI assigned
- Jul 24, 2012
- 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 | PS49215 | FL | Primary |
Addresses
Primary practice location
4201 Belfort Rd
Jacksonville, FL 32216-1431
Mailing address
6623 Willow St Apt 5
El Cerrito, CA 94530-3659
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS49215 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1689929903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6623 WILLOW ST APT 5",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161431",
"telephone_number": "904-296-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "LORILEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.