Active NPI
Carol Ann Wilson
- Pharmacist
- Orlando, FL
National Provider Identifier
1780967703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28740
- Practice address
- 8000 Lake Underhill Rd
Orlando, FL 32822-8231 - Phone
- (407) 658-1045
- NPI assigned
- Sep 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS28740 | FL | Primary |
Addresses
Primary practice location
8000 Lake Underhill Rd
Orlando, FL 32822-8231
Mailing address
3797 Becontree PL
Oviedo, FL 32765-9631
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 |
|---|---|---|---|
| PS28740 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1780967703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3797 BECONTREE PL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228231",
"telephone_number": "407-658-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.