Mariame Fofana

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH241205 Issued in MA

Practice address

10 Stafford Rd
Fall River, MA 02721-2506

Phone

(508) 679-9600

NPI assigned

Jan 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxi Drug Inc

  dba Rite Aid Pharmacy 10199

  • Community/Retail Pharmacy
  • Fall River, MA
  • NPI 1679672943
  NPD (past)
• Maxi Drug Inc

  dba Rite Aid Pharmacy 10209

  • Community/Retail Pharmacy
  • New Bedford, MA
  • NPI 1740389022
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1265146773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STAFFORD RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212506",
            "telephone_number": "508-679-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STAFFORD RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212506",
            "telephone_number": "508-679-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "MARIAME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0016101",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH241205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION",
            "identifier": "08142020",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "electronic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Stafford Rd",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027212506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "electronic",
            "affiliation": "N",
            "address_1": "10 Stafford Rd",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027212506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aileen Fleck
• Tyler Jacob Fleet
• Courtney Erin Fleming, PA
• Kathleen Flood
• Noreen Elizabeth Flynn, PA-C
• Martin A Fogle, MD
• Lynn K Folan, N.P.
• Jordan Foley
• Chante Fonseca Da Cruz, RN
• Madison Taylor Fonseca-Kemp, OTR

• Pharmacist in Fall River, MA
• Providers in Fall River, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.