Peggy Soto-Omar

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH31701 Issued in FL

Practice address

3990 E Sr 44 Unit 207
Wildwood, FL 34785-7482

Phone

(352) 492-9333

Fax

(352) 399-6234

NPI assigned

Apr 24, 2019

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Village Discount Pharmacy

  dba Village Discount Pharmacy LLC

  • Community/Retail Pharmacy
  • Wildwood, FL
  • NPI 1174006399
  NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1821652959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 HENBURY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326954",
            "telephone_number": "407-492-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E SR 44 UNIT 207",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857482",
            "telephone_number": "352-492-9333",
            "fax_number": "352-399-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-OMAR",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH31701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinewa Dialysis LLC (Wildwood Dialysis)
• Madeline Smiddy
• Deborah Smith
• Kacey Smith
• Michael William Smith, APRN, FNP-C
• Nathan Scott Southard
• David Wayne Stephenson, MD
• Lakiesha Stokes, CNA
• Sugar-Bears Homemaker and Companion
• Sumter County Board of County Commissioners

• Pharmacy in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.