Individual provider Active NPI

Juditka Lourdes Aguilar Fuster, BSPHARM

  • Pharmacy Technician
  • Tampa, FL
National Provider Identifier
1801530423
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PSI36869 Issued in FL
Practice address
12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone
(813) 852-5270
Fax
(813) 537-3602
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PSI36869 FL Primary

Addresses

Primary practice location

12085 W Hillsborough Ave
Tampa, FL 33635-9725

Mailing address

4733 W Waters Ave Apt 1823
Tampa, FL 33614-1463
Phone (813) 475-2708

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Pharmacy Tampa Family HC Pharmacy-Hillsborough
Other URL Pharmacy Tampa Family HC Pharmacy-Hillsborough

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

LicenseStateTypeSpecialty
PSI36869FLMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1801530423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 W WATERS AVE APT 1823",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141463",
            "telephone_number": "813-475-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12085 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359725",
            "telephone_number": "813-852-5270",
            "fax_number": "813-537-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR FUSTER",
        "first_name": "JUDITKA",
        "middle_name": "LOURDES",
        "credential": "BSPHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "PSI36869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "Y",
            "affiliationName": "Tampa Family HC Pharmacy-Hillsborough",
            "address_1": "12085 W Hillsborough Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336359725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "Y",
            "affiliationName": "Tampa Family HC Pharmacy-Hillsborough",
            "address_1": "12085 W Hillsborough Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336359725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.