Active NPI
Camille Chalela
- Pharmacist
- Odessa, FL
National Provider Identifier
1851901177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60945
- Practice address
- 13589 State Road 54
Odessa, FL 33556-3527 - Phone
- (813) 345-3917
- NPI assigned
- Aug 2, 2020
- Last updated
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PS60945 | FL | Primary |
Addresses
Primary practice location
13589 State Road 54
Odessa, FL 33556-3527
Mailing address
12500 State Road 54
Odessa, FL 33556-3480
Phone (727) 376-9490
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 |
|---|---|---|---|
| PS60945 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets, Inc. | Current | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Locations
13589 State Road 54
Odessa, FL 33556
Phone (813) 345-3917
Organizations & group practices 3
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.
-
dba Publix Pharmacy #1611
- Community/Retail Pharmacy
- Odessa, FL
- NPI 1578123287
-
dba Publix Pharmacy #1513
- Community/Retail Pharmacy
- Odessa, FL
- NPI 1295193498
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1851901177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 STATE ROAD 54",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563480",
"telephone_number": "727-376-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13589 STATE ROAD 54",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563527",
"telephone_number": "813-345-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALELA",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-02",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.