Individual provider Active NPI

Juliana Betancur

  • Pharmacist
  • Naples, FL
National Provider Identifier
1700591997
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PSI65088 Issued in FL
Practice address
3451 Tamiami TRL E
Naples, FL 34112-4942
Phone
(239) 775-2268
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PSI65088 FL Primary

Addresses

Primary practice location

3451 Tamiami TRL E
Naples, FL 34112-4942

Mailing address

3451 Tamiami TRL E
Naples, FL 34112-4942
Phone (239) 775-2268

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

LicenseStateTypeSpecialty
PSI65088FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1700591997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124942",
            "telephone_number": "239-775-2268",
            "fax_number": "239-775-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124942",
            "telephone_number": "239-775-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCUR",
        "first_name": "JULIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI65088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.