Active NPI
Ashli Phillips
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1912619180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65254
- Practice address
- 3221 Vineland Rd
Kissimmee, FL 34746-4907 - Phone
- (407) 239-1852
- NPI assigned
- Dec 20, 2022
- Last updated
- Dec 20, 2022
- 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 | PS65254 | FL | Primary |
Addresses
Primary practice location
3221 Vineland Rd
Kissimmee, FL 34746-4907
Mailing address
PO Box 351838
Palm Coast, FL 32135-1838
Phone (386) 237-1139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS65254 | Other | FL | PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| PS65254 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1912619180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351838",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321351838",
"telephone_number": "386-237-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 VINELAND RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464907",
"telephone_number": "407-239-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ASHLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "PS65254",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.