IndividualActive
Spencer Provan, RPH
NPI 1245511286 · Pharmacist · Lake Placid, FL
Spencer Provan, RPH is a Pharmacist provider in Lake Placid, FL (NPI 1245511286).
Provider details
- NPI number
- 1245511286
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS17671 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1208 Driscoll Dr
Lake Placid, FL 33852-9647
Phone: (863) 385-9929
Street-level locationGet directions
Mailing address
1208 Driscoll Dr
Lake Placid, FL 33852-9647
Registry dates
- Enumerated
- 2011-09-05
- Last updated
- 2011-09-05
Frequently asked questions
- What is Spencer Provan's NPI number?
- Spencer Provan's National Provider Identifier (NPI) is 1245511286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Spencer Provan's specialty?
- Spencer Provan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Spencer Provan located?
- Spencer Provan's practice location on file with NPPES is 1208 Driscoll Dr, Lake Placid, FL 33852-9647.
- What is Spencer Provan's phone number?
- The practice phone number listed in the NPPES registry for Spencer Provan is (863) 385-9929.
- Is Spencer Provan's NPI active?
- Yes — Spencer Provan's NPI (1245511286) is active in the NPPES registry as of the last update on 2011-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.