Active NPI
Stephanie Gurumendi, RPH
- Pharmacist
- Orlando, FL
National Provider Identifier
1700650652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66564
- Practice address
- 1835 Sand Lake Rd
Orlando, FL 32809-7629 - Phone
- (407) 856-1809
- NPI assigned
- Nov 10, 2023
- Last updated
- Nov 10, 2023
- 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 | PS66564 | FL | Primary |
Addresses
Primary practice location
1835 Sand Lake Rd
Orlando, FL 32809-7629
Mailing address
12217 Pioneers Way Apt 2205
Orlando, FL 32832-2842
Phone (787) 904-3923
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66564 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1835 Sand Lake Rd
Orlando, FL 32809
Phone (407) 856-1809
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": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1700650652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12217 PIONEERS WAY APT 2205",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328322842",
"telephone_number": "787-904-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 SAND LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097629",
"telephone_number": "407-856-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURUMENDI",
"first_name": "STEPHANIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.