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Active NPI 1245511286 Individual Practitioner Male Practitioner

Spencer Provan , RPH

Pharmacist • Lake Placid, FL

Professional Overview & Biography Verified Profile Summary

Spencer Provan, RPH is a registered healthcare professional specializing in Pharmacist in Lake Placid, FL. Practice services are available at 1208 DRISCOLL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1208 Driscoll Dr

Lake Placid, FL 338529647

Telephone 8633859929
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1720093990

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lake Placid, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Lake Placid, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS17671

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1154604445

Doctor of Pharmacy (Pharm.D.)

NPI 1194287201

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1366725970

Registered Pharmacist, Master of Arts

NPI 1487269155

Doctor of Pharmacy (Pharm.D.)

NPI 1598048472

Pharmacist

NPI 1598462384

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2011

Registered at 1208 DRISCOLL DR, LAKE PLACID, FL 338529647 (Tel: 8633859929)

📍
Updated Business Mailing Address September 05, 2011

Registered at 1208 DRISCOLL DR, LAKE PLACID, FL 338529647

👤
Provider Name / Credentials Updated September 05, 2011

Recorded as SPENCER PROVAN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2011

Pharmacist (License #PS17671 in FL)

🟢
Initial NPI Registration & Enumeration September 05, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245511286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2011
Last Update: September 05, 2011
Sole Proprietor: Yes

Mailing Address

1208 Driscoll Dr

Lake Placid, FL 338529647

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.