Active NPI
Denise Traficante, PHARMD
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1063669869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54573
- Practice address
- 3370 Tamiami TRL
Port Charlotte, FL 33952-8127 - Phone
- (941) 979-9085
- NPI assigned
- Aug 22, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 264123-1 | NY | |
| Pharmacist | 183500000X | 03131836 | OH | |
| Pharmacotherapy Pharmacist | 1835P1200X | PU8358 | FL | |
| Pharmacist | 183500000X | PS54573 | FL | Primary |
Addresses
Primary practice location
3370 Tamiami TRL
Port Charlotte, FL 33952-8127
Mailing address
3370 Tamiami TRL
Port Charlotte, FL 33952-8127
Phone (941) 979-9085
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264123-1 | NY | MD | Licensed Practical Nurse |
| PS54573 | FL | MD | Pharmacist |
| 03131836 | OH | MD | Pharmacist |
| PU8358 | FL | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Famy Inc | Current | Accepting new patients | |
| Allcare Family Services, Inc. | Past | Accepting new patients | |
| Famy Inc | Past | Accepting new patients |
Locations
3370 Tamiami Trl
Port Charlotte, FL 33952
Phone (941) 979-9085
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Port Charlotte, FL
- NPI 1770232720
-
- Community/Retail Pharmacy
- Port Charlotte, FL
- NPI 1639455447
-
- Home Health Agency
- Buffalo, NY
- NPI 1922292176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1063669869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528127",
"telephone_number": "941-979-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528127",
"telephone_number": "941-979-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAFICANTE",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "264123-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03131836",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PU8358",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.