Diane Ellen Forhan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0021575 Issued in FL

Practice address

2851 Henley Rd Ste 200
Green Cove Springs, FL 32043-7206

Phone

(904) 899-6902

Fax

(904) 291-3288

NPI assigned

Nov 14, 2006

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1649342973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WESLEY RD",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439572",
            "telephone_number": "904-673-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 HENLEY RD STE 200",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437206",
            "telephone_number": "904-899-6902",
            "fax_number": "904-291-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORHAN",
        "first_name": "DIANE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0021575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.