Active NPI
Fred William Werner, RPH
- Pharmacist
- Lynn Haven, FL
National Provider Identifier
1437285087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS15547
- Practice address
- 1812 Hwy 77 South
Lynn Haven, FL 32444 - Phone
- (850) 271-8016
- Fax
- (850) 271-9379
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PS15547 | FL | Primary |
Addresses
Primary practice location
1812 Hwy 77 South
Lynn Haven, FL 32444
Mailing address
2802 Woodmere Drive
Panama City, FL 32405
Phone (850) 625-8988
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 |
|---|---|---|---|
| PS15547 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437285087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 WOODMERE DRIVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-625-8988",
"fax_number": "850-271-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 HWY 77 SOUTH",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "32444",
"telephone_number": "850-271-8016",
"fax_number": "850-271-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "FRED",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS15547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.