Active NPI
Selise Spector
- Pharmacist
- Palm City, FL
National Provider Identifier
1952905036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52019
- Practice address
- 2854 SW Martin Downs Blvd
Palm City, FL 34990-6021 - Phone
- (772) 287-3821
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS52019 | FL | Primary |
Addresses
Primary practice location
2854 SW Martin Downs Blvd
Palm City, FL 34990-6021
Mailing address
2854 SW Martin Downs Blvd
Palm City, FL 34990-6021
Phone (772) 287-3821
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 |
|---|---|---|---|
| PS52019 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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, 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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1952905036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 SW MARTIN DOWNS BLVD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349906021",
"telephone_number": "772-287-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 SW MARTIN DOWNS BLVD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349906021",
"telephone_number": "772-287-3821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECTOR",
"first_name": "SELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
- Bertrand Sorel, DMD, M.D.
- Southern Florida Psychiatric Services LLC
- Sovereign Healthcare of Palm City, LLC (Palm City Nursing and Rehab Center)
- Speak Easy of the Treasure Coast, LLC
- Daniel Trevor Spears, D.D.S.
- Speechrx LLC
- Janice Devaux Spencer, RBT
- Devyn A Squires, M.A., CCC-SLP
- Madelyne Staker
- Steady Enterprises, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.