Lauren M Fernbach

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58690 Issued in FL

Practice address

800 Ocala Rd
Tallahassee, FL 32304-1669

Phone

(850) 575-6997

Fax

(850) 575-8050

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Publix Super Markets Inc

  dba Publix Pharmacy #0782

  • Community/Retail Pharmacy
  • Tallahassee, FL
  • NPI 1225078603
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1073137220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041669",
            "telephone_number": "850-575-6997",
            "fax_number": "850-575-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNBACH",
        "first_name": "LAUREN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000000000",
            "identifier": "0000000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laurenfernbach@publix.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 Ocala Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323041669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriella Fernandez
• Raul Osmundo Fernandez, MD
• Tatiana Fernandez, PHARMD
• Yaredh Fernandez
• Ashley Fernbach, APRN
• Bernice Alice Ferrall, O.T.
• Hunter Ferraro, PHARMD
• Jeffrey Thomas Ferraro, MD
• Gina Marie Ferrell, LMT
• Kelli W. Ferrell, RPH, MSC

• Pharmacist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.