Active NPI
Jeremy Stone, PHARM.D.
- Pharmacist
- Lakeland, FL
National Provider Identifier
1982066965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49847
- Practice address
- 4730 S Florida Ave
Lakeland, FL 33813-2181 - Phone
- (863) 646-5471
- NPI assigned
- Mar 28, 2016
- 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 | PS49847 | FL | Primary |
Addresses
Primary practice location
4730 S Florida Ave
Lakeland, FL 33813-2181
Mailing address
5923 Colony Place Dr
Lakeland, FL 33813-2872
Phone (904) 316-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS49847 | Other | FL | STATE PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49847 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Publix Pharmacy #0356
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1316988801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1982066965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5923 COLONY PLACE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132872",
"telephone_number": "904-316-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132181",
"telephone_number": "863-646-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JEREMY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "PS49847",
"state": "FL"
}
],
"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 Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.