Active NPI
Marylin Machado, PHAMD
- Pharmacist
- Crestview, FL
National Provider Identifier
1538708359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60309
- Practice address
- 2250 S Ferdon Blvd
Crestview, FL 32536-8457 - Phone
- (850) 682-0942
- NPI assigned
- Dec 26, 2019
- 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 | PS60309 | FL | Primary |
Addresses
Primary practice location
2250 S Ferdon Blvd
Crestview, FL 32536-8457
Mailing address
4854 NW 7TH St Apt 502
Miami, FL 33126-2188
Phone (786) 385-3310
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 |
|---|---|---|---|
| PS60309 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1538708359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4854 NW 7TH ST APT 502",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262188",
"telephone_number": "786-385-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325368457",
"telephone_number": "850-682-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "MARYLIN",
"credential": "PHAMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.