Active NPI
Randy H Lorgea, PHARMACIST
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1750984902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37334
- Practice address
- 19070 S Tamiami TRL
Fort Myers, FL 33908-4704 - Phone
- (239) 590-0049
- Fax
- (239) 590-0407
- NPI assigned
- Nov 19, 2020
- Last updated
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 37334 | FL | |
| Pharmacist | 183500000X | PS37334 | FL | Primary |
Addresses
Primary practice location
19070 S Tamiami TRL
Fort Myers, FL 33908-4704
Mailing address
15781 Portofino Springs Blvd Apt 106
Fort Myers, FL 33908-8555
Phone (772) 361-9800
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 |
|---|---|---|---|
| 37334 | FL | MD | Pharmacist |
| PS37334 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1750984902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15781 PORTOFINO SPRINGS BLVD APT 106",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339088555",
"telephone_number": "772-361-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19070 S TAMIAMI TRL",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084704",
"telephone_number": "239-590-0049",
"fax_number": "239-590-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORGEA",
"first_name": "RANDY",
"middle_name": "H",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "37334",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.