Active NPI
Mirtha Rosa De Jesus
- Pharmacy Technician
- Ocoee, FL
National Provider Identifier
1710594866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT66870
- Practice address
- 2353 Ocoee Apopka Rd
Ocoee, FL 34761-5301 - Phone
- (407) 573-0228
- NPI assigned
- Sep 23, 2020
- Last updated
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT66870 | FL | Primary |
Addresses
Primary practice location
2353 Ocoee Apopka Rd
Ocoee, FL 34761-5301
Mailing address
2353 Ocoee Apopka Rd
Ocoee, FL 34761-5301
Phone (407) 573-0228
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 |
|---|---|---|---|
| RPT66870 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1710594866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 OCOEE APOPKA RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347615301",
"telephone_number": "407-573-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 OCOEE APOPKA RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347615301",
"telephone_number": "407-573-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "MIRTHA",
"middle_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT66870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.