Active NPI
Donna Hennessey
- Pharmacist
- Palm Coast, FL
National Provider Identifier
1265716773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26223
- Practice address
- 1109 Palm Coast Pkwy
Palm Coast, FL 32137 - Phone
- (386) 445-7041
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 26223 | FL | Primary |
Addresses
Primary practice location
1109 Palm Coast Pkwy
Palm Coast, FL 32137
Mailing address
4 Water Oak PL
Palm Coast, FL 32137
Phone (386) 246-4103
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 |
|---|---|---|---|
| 26223 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1265716773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WATER OAK PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-246-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 PALM COAST PKWY",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-445-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSEY",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "26223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.