Active NPI
Frusnel Augustin, RPH
- Pharmacist
- Lehigh Acres, FL
National Provider Identifier
1396015798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37279
- Practice address
- 8246 Silver Birch Way
Lehigh Acres, FL 33971-3718 - Phone
- (239) 240-0824
- Fax
- (239) 658-1310
- NPI assigned
- Jan 3, 2012
- Last updated
- Jul 27, 2020
- Sex
- Male
- 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 | PS37279 | FL | Primary |
Addresses
Primary practice location
8246 Silver Birch Way
Lehigh Acres, FL 33971-3718
Mailing address
2611 30TH St SW
Lehigh Acres, FL 33976-4091
Phone (239) 240-4345
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacist | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37279 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Star Pharmacy | Current | Accepting new patients |
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, 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": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1396015798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 30TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339764091",
"telephone_number": "239-240-4345",
"fax_number": "239-931-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8246 SILVER BIRCH WAY",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339713718",
"telephone_number": "239-240-0824",
"fax_number": "239-658-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "FRUSNEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacist",
"affiliation": "N",
"endpointDescription": "pharmacist",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2611 30th St SW",
"city": "Lehigh Acres",
"state": "FL",
"country_code": "US",
"postal_code": "339764091",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.