Individual provider Active NPI

Keri Depatis, PHARMD

  • Ambulatory Care Pharmacist
  • Palm Beach Gardens, FL
National Provider Identifier
1083370985
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PS58144 Issued in FL
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

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS58144FLMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Lynn Dowie DO PA CurrentSince Nov 21, 2021 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.

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.

Verify at the official NPI Registry.