Active NPI
Kayla Clare
- Pharmacist
- Orlando, FL
National Provider Identifier
1902402340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58988
- Practice address
- 6217 Silver Star Rd
Orlando, FL 32808-4229 - Phone
- (407) 298-0303
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202217055 | VA | |
| Pharmacist | 183500000X | PS58988 | FL | Primary |
Addresses
Primary practice location
6217 Silver Star Rd
Orlando, FL 32808-4229
Mailing address
846 NE 54TH Terrace
Coleman, FL 33521
Phone (352) 689-5282
Other practice location 1
846 ne 54th terr
coleman, FL 33521
Phone (352) 689-5282
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 |
|---|---|---|---|
| PS58988 | FL | MD | Pharmacist |
| 0202217055 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1902402340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 NE 54TH TERRACE",
"city": "COLEMAN",
"state": "FL",
"postal_code": "33521",
"telephone_number": "352-689-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6217 SILVER STAR RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328084229",
"telephone_number": "407-298-0303"
}
],
"practiceLocations": [
{
"address_1": "846 ne 54th terr",
"address_purpose": "LOCATION",
"city": "coleman",
"state": "FL",
"postal_code": "33521",
"country_code": "US",
"telephone_number": "352-689-5282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARE",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217055",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58988",
"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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.