Active NPI
Maria De Lourdes Jimenez, RPT
- Pharmacy Technician
- Lakeland, FL
National Provider Identifier
1780301820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 66944
- Practice address
- 311 E Memorial Blvd
Lakeland, FL 33801-1766 - Phone
- (863) 688-1386
- Fax
- (863) 683-6170
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- 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 | 66944 | FL | Primary |
Addresses
Primary practice location
311 E Memorial Blvd
Lakeland, FL 33801-1766
Mailing address
311 E Memorial Blvd
Lakeland, FL 33801-1766
Phone (863) 688-1386
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 |
|---|---|---|---|
| 66944 | FL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1780301820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338011766",
"telephone_number": "863-688-1386",
"fax_number": "863-683-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338011766",
"telephone_number": "863-688-1386",
"fax_number": "863-683-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MARIA",
"middle_name": "DE LOURDES",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "66944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.