Active NPI
Maritza E Perez, R.PH
- Pharmacist
- Haines City, FL
National Provider Identifier
1740568542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS63111
- Practice address
- 705 Ingraham Ave
Haines City, FL 33844-4327 - Phone
- (863) 291-3314
- Fax
- (863) 659-4419
- NPI assigned
- Jul 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02649800 | NJ | |
| Pharmacist | 183500000X | PS63111 | FL | Primary |
Addresses
Primary practice location
705 Ingraham Ave
Haines City, FL 33844-4327
Mailing address
705 Ingraham Ave
Haines City, FL 33844-4327
Phone (863) 291-3314
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 |
|---|---|---|---|
| PS63111 | FL | MD | Pharmacist |
| 28RI02649800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Express Pharmacy Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cape Coral, FL
- NPI 1477622025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1740568542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 INGRAHAM AVE",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338444327",
"telephone_number": "863-291-3314",
"fax_number": "863-659-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 INGRAHAM AVE",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338444327",
"telephone_number": "863-291-3314",
"fax_number": "863-659-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARITZA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02649800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.