Individual provider Active NPI

Mahe Marrero, PHARM.D.

  • Pharmacist
  • Winter Haven, FL
National Provider Identifier
1255635736
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45244 Issued in FL
Practice address
950 1St St S Ste 103
Winter Haven, FL 33880-3607
Phone
(305) 262-6682
Fax
(305) 264-4318
NPI assigned
Dec 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45244 FL Primary

Addresses

Primary practice location

950 1St St S Ste 103
Winter Haven, FL 33880-3607

Mailing address

7295 SW 24TH St
Miami, FL 33155-1401
Phone (305) 262-6682

Other identifiers 1

IdentifierTypeStateIssuer
PS45244OtherFLSTATE 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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS45244FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Pharmacy Corp CurrentSince Jul 28, 2019 Accepting new patients

Locations

7295 SW 24th St
Miami, FL 33155

950 1st St S
Ste 103
Winter Haven, FL 33880
Phone (305) 262-6682

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": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1255635736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551401",
            "telephone_number": "305-262-6682",
            "fax_number": "305-264-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 1ST ST S STE 103",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803607",
            "telephone_number": "305-262-6682",
            "fax_number": "305-264-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "MAHE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS45244",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.