Active NPI
Freda Santiago
- Pharmacist
- Coconut Creek, FL
National Provider Identifier
1629717137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43243
- Practice address
- 4340 NW 45TH Ter
Coconut Creek, FL 33073-4732 - Phone
- (954) 675-3123
- NPI assigned
- Jun 2, 2022
- 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 | PS43243 | FL | Primary |
Addresses
Primary practice location
4340 NW 45TH Ter
Coconut Creek, FL 33073-4732
Mailing address
4340 NW 45TH Ter
Coconut Creek, FL 33073-4732
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 |
|---|---|---|---|
| PS43243 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1629717137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 NW 45TH TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 NW 45TH TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734732",
"telephone_number": "954-675-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "FREDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.