Active NPI
Alberto C Fraga, RPH
- Pharmacist
- Homestead, FL
National Provider Identifier
1184797748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0016791
- Practice address
- 944 N Krome Ave
Homestead, FL 33030-4409 - Phone
- (305) 247-4488
- NPI assigned
- Nov 15, 2006
- 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 | PS0016791 | FL | Primary |
Addresses
Primary practice location
944 N Krome Ave
Homestead, FL 33030-4409
Mailing address
26521 SW 173Rd PL
Homestead, FL 33031-2323
Phone (305) 246-0185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0016791 | Other | FL | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS0016791 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1184797748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26521 SW 173RD PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330312323",
"telephone_number": "305-246-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 N KROME AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304409",
"telephone_number": "305-247-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGA",
"first_name": "ALBERTO",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0016791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS0016791",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.