Active NPI
Prutha Lavani
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Orlando, FL
National Provider Identifier
1851058192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS57790
- Practice address
- 1613 N Mills Ave
Orlando, FL 32803-1849 - Phone
- (407) 894-4474
- NPI assigned
- Nov 22, 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS57790 | FL | Primary |
Addresses
Primary practice location
1613 N Mills Ave
Orlando, FL 32803-1849
Mailing address
743 Clay St Apt 343
Winter Park, FL 32789-4599
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 |
|---|---|---|---|
| PS57790 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1851058192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 CLAY ST APT 343",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031849",
"telephone_number": "407-894-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVANI",
"first_name": "PRUTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS57790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Maria Emilia Lauzan-Madruga, DMD
- Caralin Lavacca, LE, CCE, CME
- Annette Lavallais-Howard, LCSW
- Joseph Richard Lavallee II, MSN, APRN, FNP-BC
- Taylor May Lavan
- Rizalina Ramos Lavarro, MD
- Mario Emmanuel Lavelanet, MD
- Felipe Enrique Lavergne-Vega, DC
- Tamara Baffour Laverriere, CRNA
- Elizabeth Lara Laverty, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.