Individual provider Active NPI

Carlos Juan Aleman, PHARMD

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1902558794
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63549 Issued in FL
Practice address
3120 Kathleen Rd
Lakeland, FL 33810-6707
Phone
(863) 853-1087
NPI assigned
Jan 22, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63549 FL Primary

Addresses

Primary practice location

3120 Kathleen Rd
Lakeland, FL 33810-6707

Mailing address

2916 Redwood Ave
Lakeland, FL 33803-4343

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
PS63549FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Feb 1, 2022 Accepting new patients
Walgreen Co PastSince Feb 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1902558794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 REDWOOD AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034343"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMAN",
        "first_name": "CARLOS",
        "middle_name": "JUAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63549",
            "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 Dec 21, 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.