Active NPI
Donetta Fricke
- Pharmacist
- Palmdale, CA
National Provider Identifier
1346659539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42666
- Practice address
- 40130 10TH St W
Palmdale, CA 93551-3005 - Phone
- (661) 267-6596
- Fax
- (661) 267-2839
- NPI assigned
- Aug 12, 2014
- Last updated
- Aug 29, 2014
- Sex
- Female
- 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 | 42666 | CA | Primary |
Addresses
Primary practice location
40130 10TH St W
Palmdale, CA 93551-3005
Mailing address
40130 10TH St W
Palmdale, CA 93551-3005
Phone (661) 267-6596
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 |
|---|---|---|---|
| 42666 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1346659539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40130 10TH ST W",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513005",
"telephone_number": "661-267-6596",
"fax_number": "661-267-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40130 10TH ST W",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513005",
"telephone_number": "661-267-6596",
"fax_number": "661-267-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "DONETTA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.