Individual provider Active NPI

Teri Catherine Hall, PHARM D

  • Pharmacist
  • Lutz, FL
National Provider Identifier
1891055083
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37615 Issued in FL
Practice address
1040 Dale Mabry Hwy
Lutz, FL 33548-3004
Phone
(813) 435-2934
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03224828 OH
Pharmacist 183500000X PS37615 FL Primary

Addresses

Primary practice location

1040 Dale Mabry Hwy
Lutz, FL 33548-3004

Mailing address

575 Lakewood Dr
Oldsmar, FL 34677-5503
Phone (727) 244-5852

Other practice location 1

2747 Gulf To Bay Blvd
T-1820
Clearwater, FL 33759-3945
Phone (727) 431-0232

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
PS37615FLMDPharmacist
03224828OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1891055083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LAKEWOOD DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346775503",
            "telephone_number": "727-244-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483004",
            "telephone_number": "813-435-2934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 Gulf To Bay Blvd",
            "address_2": "T-1820",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337593945",
            "country_code": "US",
            "telephone_number": "727-431-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TERI",
        "middle_name": "CATHERINE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03224828",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.