Active NPI
Kevin Preller
- Pharmacist
- Orlando, FL
National Provider Identifier
1821720590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS64135
- Practice address
- 6272 Lee Vista Blvd Ste 100
Orlando, FL 32822-5148 - Phone
- (407) 812-5301
- NPI assigned
- Jun 30, 2022
- Last updated
- Oct 18, 2024
- Sex
- Male
- 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 | PS64135 | FL | Primary |
Addresses
Primary practice location
6272 Lee Vista Blvd Ste 100
Orlando, FL 32822-5148
Mailing address
6272 Lee Vista Blvd Ste 100
Orlando, FL 32822-5148
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 |
|---|---|---|---|
| PS64135 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1821720590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6272 LEE VISTA BLVD STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328225148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6272 LEE VISTA BLVD STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328225148",
"telephone_number": "407-812-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELLER",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Preferred Home Health Services, Inc.
- Preferred Injury Physicians of East Orlando Inc (Preferred Injury Physicians)
- Preferred Transport Services LLC
- Susanne Geraldine Preisler, ARNP
- Virginia Preiss
- Michelle Renee Prellwitz
- Premcare Family Medical Center
- Premier Aging in Place Services, Inc.
- Premier Eye Associates, Inc.
- Premier Health Group of Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.