Active NPI
Roland R Medeiros, R.PH
- Pharmacist
- Ocala, FL
National Provider Identifier
1972736460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020491
- Practice address
- 184 Marion Oaks Blvd
Ocala, FL 34473-2205 - Phone
- (352) 347-3115
- Fax
- (352) 347-1329
- NPI assigned
- Aug 31, 2009
- Last updated
- Aug 31, 2009
- Sex
- Male
- 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 | 020491 | FL | Primary |
Addresses
Primary practice location
184 Marion Oaks Blvd
Ocala, FL 34473-2205
Mailing address
184 Marion Oaks Blvd
Ocala, FL 34473-2205
Phone (352) 347-3115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10278101 | Medicaid | FL |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020491 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1972736460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 MARION OAKS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344732205",
"telephone_number": "352-347-3115",
"fax_number": "352-347-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 MARION OAKS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344732205",
"telephone_number": "352-347-3115",
"fax_number": "352-347-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "ROLAND",
"middle_name": "R",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "020491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10278101",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
- Med-Express Medical Center LLC
- Med-Plus Healthcare LLC
- Guirlene Bastien Medard, APRN
- Medcare Telehealth Inc
- Medcare Transportation, Corp
- Tiffany Medeiros, RN
- Medero Medical of Lake, LLC (Medero Medical Lake)
- Medero Medical of Marion, LLC (Medero Medical Marion)
- Medero Medical of Orange South, LLC (Medero Medical Orange South)
- Medero Medical of Orange, LLC (Medero Medical Orange)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.