Active NPI
Mandy Moncayo
- Pharmacist
- Clermont, FL
National Provider Identifier
1780441691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PSI36047
- Practice address
- 699 E Highway 50
Clermont, FL 34711-3163 - Phone
- (352) 241-9109
- NPI assigned
- Mar 6, 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 | PSI36047 | FL | Primary |
Addresses
Primary practice location
699 E Highway 50
Clermont, FL 34711-3163
Mailing address
345 Veranda Way Apt 311
Mount Dora, FL 32757-6176
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 |
|---|---|---|---|
| PSI36047 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1780441691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 VERANDA WAY APT 311",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 E HIGHWAY 50",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113163",
"telephone_number": "352-241-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCAYO",
"first_name": "MANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PSI36047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.