Active NPI
Deanna Celeste Fernandes, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Gainesville, FL
National Provider Identifier
1316385222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS47666
- Practice address
- 1700 SW 16TH CT
Unit K-22
Gainesville, FL 32608-1516 - Phone
- (352) 222-5821
- NPI assigned
- Jun 13, 2013
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS47666 | FL | Primary |
Addresses
Primary practice location
1700 SW 16TH CT
Unit K-22
Gainesville, FL 32608-1516
Mailing address
1700 SW 16TH CT
Unit K-22
Gainesville, FL 32608-1516
Phone (352) 222-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS47666 | 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47666 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1316385222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SW 16TH CT",
"address_2": "UNIT K-22",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081516",
"telephone_number": "352-222-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SW 16TH CT",
"address_2": "UNIT K-22",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081516",
"telephone_number": "352-222-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "DEANNA",
"middle_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS47666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS47666",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
- Taesha Ferguson, APRN
- Maria E Fermin Gutierrez, M.D.
- Jonathan Kyle Fernand, M.A., BCBA
- Leda Regina Fernandes Mugayar, DDS
- Cipriano S Fernandes, M.D.
- Dielle C Fernandes, PHARMD,BCPS,FASCP
- Joel Sebastian Fernandes, M.D.
- Olivia Fernandes, ATC, LAT
- Giselle Fernandez Dominguez, DDS
- Angela Maria Fernandez Manovel, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.