Individual provider Active NPI

Maria R Escobedo, RPHT

  • Pharmacy Technician
  • Melbourne, FL
National Provider Identifier
1093095267
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
RPT29746 Issued in FL
Practice address
7025 N Wickham Rd
Suite 112
Melbourne, FL 32940-7534
Phone
(321) 259-3400
Fax
(321) 253-3119
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X RPT29746 FL Primary

Addresses

Primary practice location

7025 N Wickham Rd
Suite 112
Melbourne, FL 32940-7534

Mailing address

5300 Wild Cinnamon Dr
Melbourne, FL 32940-1428
Phone (321) 259-3400

Other identifiers 1

IdentifierTypeStateIssuer
RPT29746OtherFLSTATE OF FLORIDA

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

LicenseStateTypeSpecialty
RPT29746FLMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Suntree Medical Equipment LLC Past Accepting new patients

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1093095267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 WILD CINNAMON DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401428",
            "telephone_number": "321-259-3400",
            "fax_number": "321-253-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N WICKHAM RD",
            "address_2": "SUITE 112",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407534",
            "telephone_number": "321-259-3400",
            "fax_number": "321-253-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "MARIA",
        "middle_name": "R",
        "credential": "RPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT29746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "RPT29746",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.