Individual provider Active NPI

Susie Lorevi Imperio Lagabon, RPH

  • Pharmacist
  • Sebring, FL
National Provider Identifier
1851593222
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37578 Issued in FL
Practice address
6360 US Highway 27 N
Sebring, FL 33870-1225
Phone
(863) 385-5588
Fax
(863) 385-1378
NPI assigned
Jun 5, 2007
Last updated
May 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37578 FL Primary

Addresses

Primary practice location

6360 US Highway 27 N
Sebring, FL 33870-1225

Mailing address

2310 W Cavalier Rd
Avon Park, FL 33825-9550
Phone (863) 385-5588

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

LicenseStateTypeSpecialty
PS37578FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1851593222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W CAVALIER RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259550",
            "telephone_number": "863-385-5588",
            "fax_number": "863-385-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701225",
            "telephone_number": "863-385-5588",
            "fax_number": "863-385-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGABON",
        "first_name": "SUSIE LOREVI",
        "middle_name": "IMPERIO",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.