Individual provider Active NPI

Ian Adrian Toloza

  • Pharmacist
  • Cape Coral, FL
National Provider Identifier
1710534680
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59825 Issued in FL
Practice address
4202 SW 14TH Ave
Cape Coral, FL 33914-5668
Phone
(239) 462-8899
NPI assigned
Aug 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59825 FL Primary

Addresses

Primary practice location

4202 SW 14TH Ave
Cape Coral, FL 33914-5668

Mailing address

4202 SW 14TH Ave
Cape Coral, FL 33914-5668
Phone (239) 462-8899

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
PS59825FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1710534680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SW 14TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145668",
            "telephone_number": "239-462-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW 14TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145668",
            "telephone_number": "239-462-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLOZA",
        "first_name": "IAN",
        "middle_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.