Individual provider Active NPI

John Wayne Denman

  • Pharmacist
  • Fort Lauderdale, FL
National Provider Identifier
1568174472
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS27582 Issued in FL
Practice address
2888 NE 35TH St
Fort Lauderdale, FL 33306-2006
Phone
(215) 208-7494
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01781500 NJ
Pharmacist 183500000X RP446424 PA
Pharmacist 183500000X PS27582 FL Primary

Addresses

Primary practice location

2888 NE 35TH St
Fort Lauderdale, FL 33306-2006

Mailing address

2888 NE 35TH St
Fort Lauderdale, FL 33306-2006
Phone (215) 208-7494

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
PS27582FLMDPharmacist
28RI01781500NJMDPharmacist
RP446424PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1568174472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 NE 35TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333062006",
            "telephone_number": "215-208-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 NE 35TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333062006",
            "telephone_number": "215-208-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMAN",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01781500",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446424",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.