Katelyn Lauren Acevedo
Individual provider Active NPI Pharmacist · Stuart, FL
NPI 1851673586 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1851673586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS47642 (FL)
- Practice address
- 5800 SE Federal Hwy
Stuart, FL 34997-7836 - Phone
- (772) 286-0551
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47642 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47642 | FL | Yes |
Addresses
Primary practice location
5800 SE Federal Hwy
Stuart, FL 34997-7836
Mailing address
5800 SE Federal Hwy
Stuart, FL 34997-7836
Phone (772) 286-0551
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.