Active NPI
Jean Marie Fanba
- Pharmacist
- Prince Frederick, MD
National Provider Identifier
1174937452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19327
- Practice address
- 355 Market Square Dr
Prince Frederick, MD 20678-3173 - Phone
- (410) 535-5313
- Fax
- (410) 535-5762
- NPI assigned
- Jun 16, 2014
- Last updated
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19327 | MD | Primary |
Addresses
Primary practice location
355 Market Square Dr
Prince Frederick, MD 20678-3173
Mailing address
355 Market Square Dr
Prince Frederick, MD 20678-3173
Phone (410) 535-5313
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19327 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1174937452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 MARKET SQUARE DR",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783173",
"telephone_number": "410-535-5313",
"fax_number": "410-535-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 MARKET SQUARE DR",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783173",
"telephone_number": "410-535-5313",
"fax_number": "410-535-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANBA",
"first_name": "JEAN MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.