Fred Augustin
Individual provider Active NPI Pharmacist · Delray, FL
NPI 1629348644 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1629348644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS 34499 (FL)
- Practice address
- 5352 Linton Blvd
Delray, FL 33484 - Phone
- (561) 495-3262
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 34499 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 34499 | FL | Yes |
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
5352 Linton Blvd
Delray, FL 33484
Mailing address
2352 Thomson Way
Wellington, FL 33414-6421
Phone (561) 792-4077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS 39944 | Other | FL | RPH LICENCE NUMBER |
Other providers in Delray, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.