Active NPI
Maria C Villanueva
- Pharmacist
- Wellington, FL
National Provider Identifier
1720837610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66994
- Practice address
- 11878 Forest Hill Blvd
Wellington, FL 33414-6291 - Phone
- (561) 793-2126
- NPI assigned
- May 14, 2024
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | PS66994 | FL | Primary |
Addresses
Primary practice location
11878 Forest Hill Blvd
Wellington, FL 33414-6291
Mailing address
11878 Forest Hill Blvd
Wellington, FL 33414-6291
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 |
|---|---|---|---|
| PS66994 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Current | Accepting new patients |
Locations
11878 Forest Hill Blvd
Wellington, FL 33414
Phone (561) 763-2126
Organizations & group practices 1
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": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1720837610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11878 FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11878 FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146291",
"telephone_number": "561-793-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "MARIA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.