Active NPI
Jewel Sharon Camille Richards-Lee, RPH
- Pharmacist
- Lake Placid, FL
National Provider Identifier
1811975766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36963
- Practice address
- 586 US Highway 27 N
Lake Placid, FL 33852-9508 - Phone
- (863) 699-2182
- Fax
- (863) 659-4176
- NPI assigned
- Jan 1, 2006
- 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 | PS36963 | FL | Primary |
Addresses
Primary practice location
586 US Highway 27 N
Lake Placid, FL 33852-9508
Mailing address
125 Woodstork Way
Frostproof, FL 33843-9553
Phone (863) 635-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102831600 | Medicaid | FL |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36963 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | 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 and National Provider Directory roles.
-
dba Publix Pharmacy #1547
- Community/Retail Pharmacy
- Lake Placid, FL
- NPI 1235671777
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1811975766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WOODSTORK WAY",
"city": "FROSTPROOF",
"state": "FL",
"postal_code": "338439553",
"telephone_number": "863-635-4272",
"fax_number": "863-635-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 US HIGHWAY 27 N",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529508",
"telephone_number": "863-699-2182",
"fax_number": "863-659-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS-LEE",
"first_name": "JEWEL",
"middle_name": "SHARON CAMILLE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-01",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102831600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.