Active NPI
Alexandria Bartley
- Pharmacist
- Lakeland, FL
National Provider Identifier
1801565676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS63172
- Practice address
- 410 Old Polk City Rd
Lakeland, FL 33809-2314 - Phone
- (863) 815-3373
- NPI assigned
- Sep 7, 2021
- Last updated
- Sep 7, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS63172 | FL | Primary |
Addresses
Primary practice location
410 Old Polk City Rd
Lakeland, FL 33809-2314
Mailing address
410 Old Polk City Rd
Lakeland, FL 33809-2314
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 |
|---|---|---|---|
| PS63172 | FL | MD | Pharmacist |
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": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1801565676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 OLD POLK CITY RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338092314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 OLD POLK CITY RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338092314",
"telephone_number": "863-815-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Charles A Barrios, MD
- Juan Barrios, M.D.
- Lorena Barroso Esperon, RBT-24-347317
- Alton Lee Barrow, LMHC
- Bradley W Bartel Jr., DC
- Bartow Hma Physician Management LLC (Elite Surgical Associates)
- Bartow Hma Physician Management LLC (Elite Surgical Associates)
- Bartow Hma Physician Management, LLC (Southpoint Medical Group)
- Richard S Basila, PT
- Christopher Basily, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.