Individual provider Active NPI

Lauren Soles, PHARM.D.

  • Pharmacist
  • Winter Haven, FL
National Provider Identifier
1790114080
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS51189 Issued in FL
Practice address
805 Havendale Blvd NW
Winter Haven, FL 33881-1311
Phone
(863) 293-9133
Fax
(863) 293-9314
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS51189 FL Primary

Addresses

Primary practice location

805 Havendale Blvd NW
Winter Haven, FL 33881-1311

Mailing address

805 Havendale Blvd NW
Winter Haven, FL 33881-1311
Phone (863) 293-9133

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS51189FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1790114080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811311",
            "telephone_number": "863-293-9133",
            "fax_number": "863-293-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811311",
            "telephone_number": "863-293-9133",
            "fax_number": "863-293-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLES",
        "first_name": "LAUREN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.