Individual provider Active NPI

David Mercadante, PHARMD

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1881099646
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52549 Issued in FL
Practice address
3120 Kathleen Rd
Lakeland, FL 33810-6707
Phone
(863) 853-1087
Fax
(863) 859-2710
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52549 FL Primary

Addresses

Primary practice location

3120 Kathleen Rd
Lakeland, FL 33810-6707

Mailing address

3120 Kathleen Rd
Lakeland, FL 33810-6707
Phone (863) 853-1087

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

LicenseStateTypeSpecialty
PS52549FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Jul 9, 2023 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Locations

3120 Kathleen Rd
Lakeland, FL 33810
Phone (863) 850-1087

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1881099646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 KATHLEEN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338106707",
            "telephone_number": "863-853-1087",
            "fax_number": "863-859-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 KATHLEEN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338106707",
            "telephone_number": "863-853-1087",
            "fax_number": "863-859-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADANTE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.