Active NPI
Shari Defigueras, CPHT
- Pharmacy Technician
- Fort MC Coy, FL
National Provider Identifier
1184045197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT51072
- Practice address
- 11386 E Highway 316
Fort MC Coy, FL 32134-8114 - Phone
- (352) 236-0407
- Fax
- (352) 236-6343
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT51072 | FL | Primary |
Addresses
Primary practice location
11386 E Highway 316
Fort MC Coy, FL 32134-8114
Mailing address
11386 E Highway 316
Fort MC Coy, FL 32134-8114
Phone (352) 236-0407
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 |
|---|---|---|---|
| RPT51072 | FL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandmas Country Pharmacy Inc | 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.
-
- Community/Retail Pharmacy
- Fort MC Coy, FL
- NPI 1689657454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1184045197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11386 E HIGHWAY 316",
"city": "FORT MC COY",
"state": "FL",
"postal_code": "321348114",
"telephone_number": "352-236-0407",
"fax_number": "352-236-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11386 E HIGHWAY 316",
"city": "FORT MC COY",
"state": "FL",
"postal_code": "321348114",
"telephone_number": "352-236-0407",
"fax_number": "352-236-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFIGUERAS",
"first_name": "SHARI",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT51072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort MC Coy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.