Individual provider Active NPI

Paula Leslie Wakeland, RPH

  • Pharmacist
  • Sarasota, FL
National Provider Identifier
1982940102
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS30617 Issued in FL
Practice address
5124 Ocean Blvd
Sarasota, FL 34242-1637
Phone
(941) 349-1111
Fax
(941) 312-0631
NPI assigned
Dec 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30617 FL Primary

Addresses

Primary practice location

5124 Ocean Blvd
Sarasota, FL 34242-1637

Mailing address

5426 Shadow Lawn Dr
Sarasota, FL 34242-1833
Phone (941) 346-0797

Other identifiers 1

IdentifierTypeStateIssuer
PS30617OtherFLPHARMACY LICENSE

Other names 1

  • Mrs. Paula L Wakeland-Hewitt Other name

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

LicenseStateTypeSpecialty
PS30617FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Drugs Inc Past Accepting new patients
Davidson Drugs Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1982940102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 SHADOW LAWN DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421833",
            "telephone_number": "941-346-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 OCEAN BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421637",
            "telephone_number": "941-349-1111",
            "fax_number": "941-312-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELAND",
        "first_name": "PAULA",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PS30617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WAKELAND-HEWITT",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.