Individual provider Active NPI

Ashley Fleming

  • Pharmacist
  • Defuniak Springs, FL
National Provider Identifier
1477030708
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47663 Issued in FL
Practice address
1226 Freeport Road
De Funiak Springs, FL 32433
Phone
(850) 892-6914
Fax
(850) 892-0827
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47663 FL Primary

Addresses

Primary practice location

1226 Freeport Road
De Funiak Springs, FL 32433

Mailing address

1226 Freeport Road
De Funiak Springs, FL 32433
Phone (850) 892-6914

Other identifiers 1

IdentifierTypeStateIssuer
710862119MedicaidFL

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

LicenseStateTypeSpecialty
PS47663FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1477030708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 FREEPORT ROAD",
            "city": "DE FUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "32433",
            "telephone_number": "850-892-6914",
            "fax_number": "850-892-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 FREEPORT ROAD",
            "city": "DE FUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "32433",
            "telephone_number": "850-892-6914",
            "fax_number": "850-892-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710862119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.