Active NPI
Deanna Puckett
- Pharmacist
- Frederick, MD
National Provider Identifier
1003584855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T17055
- Practice address
- 2 Old Camp Rd
Frederick, MD 21702-3740 - Phone
- (301) 473-4201
- Fax
- (301) 473-8995
- NPI assigned
- Sep 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T17055 | MD | Primary |
Addresses
Primary practice location
2 Old Camp Rd
Frederick, MD 21702-3740
Mailing address
2 Old Camp Rd
Frederick, MD 21702-3740
Phone (301) 473-4201
Other names 1
- Deanna Rice
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T17055 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1003584855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 OLD CAMP RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217023740",
"telephone_number": "301-473-4201",
"fax_number": "301-473-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OLD CAMP RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217023740",
"telephone_number": "301-473-4201",
"fax_number": "301-473-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-04",
"last_updated": "2021-09-04",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "T17055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "RICE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.