Individual provider Active NPI

Jodi Lyn Rintelman Lawhorn, PHARMD

  • Pharmacist
  • Daytona Beach, FL
National Provider Identifier
1710271564
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15222-40 Issued in WI
Practice address
112 Wedge Cir
Daytona Beach, FL 32124-2068
Phone
(608) 358-8393
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23571 NV
Pharmacist 183500000X PS48296 FL
Pharmacist 183500000X 15222-40 WI Primary

Addresses

Primary practice location

112 Wedge Cir
Daytona Beach, FL 32124-2068

Mailing address

100 Technology Park Ste 158
Lake Mary, FL 32746-6205
Phone (866) 842-2147

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

LicenseStateTypeSpecialty
PS48296FLMDPharmacist
23571NVMDPharmacist
15222-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neovance Specialty Pharmacy LLC CurrentSince Jun 11, 2023 Accepting new patients
Guardian Pharmacy of Daytona, LLC Past Accepting new patients
Neovance Specialty Pharmacy LLC PastSince Jun 11, 2023 Accepting new patients

Locations

100 Technology Park
Ste 158
Lake Mary, FL 32746
Phone (407) 618-3611

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1710271564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 158",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466205",
            "telephone_number": "866-842-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEDGE CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321242068",
            "telephone_number": "608-358-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINTELMAN LAWHORN",
        "first_name": "JODI",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "23571",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48296",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15222-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.