Douglas Fasnacht, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

39620 Issued in FL

Practice address

22920 State Road 54
Lutz, FL 33549-6931

Phone

(813) 949-7872

Fax

(813) 949-6690

NPI assigned

Aug 13, 2009

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1417189291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22920 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496931",
            "telephone_number": "813-949-7872",
            "fax_number": "813-949-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22920 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496931",
            "telephone_number": "813-949-7872",
            "fax_number": "813-949-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASNACHT",
        "first_name": "DOUGLAS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "39620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Steven Farber, M.D.
• Sonia Farooqi, MD
• Amanda Farrell
• James Terence Farrell, DO
• Azeezat Fashola, NP
• Jeanne Federico, MS, CCC-SLP
• Wilchenda Felix
• Stephanie L. Fenlon, D.O.
• Delia Fermin de Melo
• Amanda Maria Fernandes

• Pharmacist in Lutz, FL
• Providers in Lutz, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.