Individual provider Active NPI

Stephanie Nichole Soccorso

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1891208195
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59554 Issued in FL
Practice address
2424 Orlando Central Pkwy
Orlando, FL 32809-5600
Phone
(877) 253-8949
Fax
(407) 965-4390
NPI assigned
Nov 8, 2017
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59554 FL Primary

Addresses

Primary practice location

2424 Orlando Central Pkwy
Orlando, FL 32809-5600

Mailing address

3440 Meadow Breeze Loop
Ocoee, FL 34761-4479
Phone (804) 479-5586

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

LicenseStateTypeSpecialty
PS59554FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1891208195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 MEADOW BREEZE LOOP",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614479",
            "telephone_number": "804-479-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 ORLANDO CENTRAL PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095600",
            "telephone_number": "877-253-8949",
            "fax_number": "407-965-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCCORSO",
        "first_name": "STEPHANIE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.