Active NPI
Ilda Luz Paul, PHARM D
- Pharmacist
- Nokomis, FL
National Provider Identifier
1831845239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59133
- Practice address
- 1120 Tamiami TRL N
Nokomis, FL 34275-2158 - Phone
- (941) 441-2909
- NPI assigned
- Feb 23, 2022
- Last updated
- Feb 23, 2022
- 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 | 59133 | FL | Primary |
Addresses
Primary practice location
1120 Tamiami TRL N
Nokomis, FL 34275-2158
Mailing address
611 19TH St NW
Ruskin, FL 33570-2948
Phone (813) 310-6342
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59133 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1120 Tamiami Trl N
Nokomis, FL 34275
Phone (941) 441-2909
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": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1831845239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 19TH ST NW",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335702948",
"telephone_number": "813-310-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 TAMIAMI TRL N",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342752158",
"telephone_number": "941-441-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ILDA",
"middle_name": "LUZ",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "59133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nokomis, FL
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- Christine R Pasquali, RD LD
- Peaceful Karma Counseling Professional Limited Liability Company
- Vicky Lee Pelphrey, MA, CCC/SLP
- Andrea V Penafiel
- Yana Perevalov
- Linda Ann Peters, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.