Adrienne B Faherty, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS30576 Issued in FL

Practice address

1381 S Patrick Dr
Patrick Air Force Base, FL 32925-3606

Phone

(321) 494-8991

NPI assigned

Nov 18, 2010

Last updated

Nov 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1003118332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "city": "PATRICK AIR FORCE BASE",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "321-494-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "city": "PATRICK AIR FORCE BASE",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "321-494-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHERTY",
        "first_name": "ADRIENNE",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jean Blasser, D.O.
• Alan Bordon, M.D.
• Brevard Eye Center
• Mario Javier Caballero, D.M.D.
• Driftwood Vision Center
• Thomas S Hoffman, DO
• Lux Counseling & Consulting, LLC
• Monika Rosalie Mathews, RN
• Justin R Read, PHARMD
• Eva M Roberts, DENTAL HYGIENIST

• Pharmacist in Patrick Air Force Base, FL
• Providers in Patrick Air Force Base, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.