Active NPI
Keri Depatis, PHARMD
- Ambulatory Care Pharmacist
- Palm Beach Gardens, FL
National Provider Identifier
1083370985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PS58144
- Practice address
- 11211 Prosperity Farms Rd Ste C211
Palm Beach Gardens, FL 33410-3401 - Phone
- (561) 743-4911
- Fax
- (561) 743-2998
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PS58144 | FL | Primary |
Addresses
Primary practice location
11211 Prosperity Farms Rd Ste C211
Palm Beach Gardens, FL 33410-3401
Mailing address
333 Fern St Apt 805
West Palm Beach, FL 33401-5967
Phone (815) 953-9591
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 |
|---|---|---|---|
| PS58144 | FL | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori Lynn Dowie DO PA | Current | Accepting new patients |
Locations
11211 Prosperity Farms Rd
Ste C211
Palm Beach Gardens, FL 33410
Phone (561) 743-4911
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Palm Beach Gardens, FL
- NPI 1154453363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1083370985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 FERN ST APT 805",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015967",
"telephone_number": "815-953-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD STE C211",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103401",
"telephone_number": "561-743-4911",
"fax_number": "561-743-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPATIS",
"first_name": "KERI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "FL",
"license": "PS58144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.