Unknown Individual – Pharmacist, NPI 1558478404

Unknown Individual is a healthcare provider. based in Lutz, Florida. specializing in Pharmacist. They hold a License No. PS22397 (FL). The NPI Number for Unknown Individual is 1558478404

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558478404
Phone
(813) 857-3516
Address
19830 MORDEN BLUSH DR
Deactivation Date
21 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 19830 MORDEN BLUSH DR

    LUTZ, FL 335589093

    Phone: (813) 857-3516

    Type: Mailing

  • 1841, Little Road, Bellerive, Trinity, Pasco County, Florida, 34655, United States

    TRINITY, FL 346555301

    Phone: (727) 375-2077

    Fax: (727) 375-7088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33558)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1558478404 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Pharmacist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Lutz, Florida for Unknown Individual based on available NPPES addresses.
What if Lutz, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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