Active NPI
Lonnie James Strom
- Pharmacist
- Celebration, FL
National Provider Identifier
1689960965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40774
- Practice address
- 315 Grand Magnolia Ave
Celebration, FL 34747-5085 - Phone
- (407) 301-8912
- NPI assigned
- Jun 24, 2011
- 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 | PS40774 | FL | Primary |
Addresses
Primary practice location
315 Grand Magnolia Ave
Celebration, FL 34747-5085
Mailing address
315 Grand Magnolia Ave
Celebration, FL 34747-5085
Phone (407) 301-8912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS40774 | Medicaid | FL |
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 |
|---|---|---|---|
| PS40774 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1689960965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 GRAND MAGNOLIA AVE",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475085",
"telephone_number": "407-301-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 GRAND MAGNOLIA AVE",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475085",
"telephone_number": "407-301-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROM",
"first_name": "LONNIE",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS40774",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.