Active NPI
Vanessa Cisneros
- Pharmacist
- Arcadia, FL
National Provider Identifier
1891572590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66363
- Practice address
- 2551 SE Highway 70
Arcadia, FL 34266-5954 - Phone
- (863) 494-0999
- NPI assigned
- Sep 14, 2023
- Last updated
- Sep 14, 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 | PS66363 | FL | Primary |
Addresses
Primary practice location
2551 SE Highway 70
Arcadia, FL 34266-5954
Mailing address
5095 SE County Road 760
Arcadia, FL 34266-9610
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 |
|---|---|---|---|
| PS66363 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1891572590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5095 SE COUNTY ROAD 760",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342669610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 SE HIGHWAY 70",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342665954",
"telephone_number": "863-494-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "VANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, FL
- Charles R Habelow MD PA (Bayside Medical)
- Charlotte Nephrology Associates, P.a.
- Sohaan A Chichester-Shepperd, PA
- Terry L Chouinard, ARNP
- Dennis Paul Cirillo, M.D.
- Coast to Coast MHS, LLC (Direct Access Counseling)
- Susan Cobb, L.C.S.W
- Martha M Coetzee, MD
- Elizabeth Patricia Collins, RN
- Communication and Rehabilitation Station LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.