Individual provider Active NPI

Makensonn Dorce, RPH,CPH

  • Pharmacist
  • Boynton Beach, FL
National Provider Identifier
1104906932
Registry record updated Aug 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37571 Issued in FL
Practice address
5660 Boynton Bay Cir
Boynton Beach, FL 33437-2638
Phone
(561) 727-4117
Fax
(561) 727-4117
NPI assigned
Oct 16, 2006
Last updated
Aug 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37571 FL Primary

Addresses

Primary practice location

5660 Boynton Bay Cir
Boynton Beach, FL 33437-2638

Mailing address

5660 Boynton Bay Cir
Boynton Beach, FL 33437-2638
Phone (561) 727-4117

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS37571FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1104906932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 BOYNTON BAY CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372638",
            "telephone_number": "561-727-4117",
            "fax_number": "561-727-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 BOYNTON BAY CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372638",
            "telephone_number": "561-727-4117",
            "fax_number": "561-727-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCE",
        "first_name": "MAKENSONN",
        "credential": "RPH,CPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; 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.