Active NPI
Dan Dominic Fucarino, BPHARM
- Pharmacist
- Tampa, FL
National Provider Identifier
1710056866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS18126
- Practice address
- 11775 N. Dale Mabry Hwy
Tampa, FL 33618-3503 - Phone
- (813) 961-8798
- Fax
- (813) 962-0092
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 | PS18126 | FL | Primary |
Addresses
Primary practice location
11775 N. Dale Mabry Hwy
Tampa, FL 33618-3503
Mailing address
11775 N. Dale Mabry Hwy
Tampa, FL 33618-3503
Phone (813) 961-8798
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 |
|---|---|---|---|
| PS18126 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan'S Pharmacy Inc Dba Carrollwood Compounding Center | Current | Accepting new patients |
Locations
11775 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 961-8798
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Compounding Pharmacy
- Tampa, FL
- NPI 1093354797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1710056866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11775 N. DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336183503",
"telephone_number": "813-961-8798",
"fax_number": "813-962-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11775 N. DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336183503",
"telephone_number": "813-961-8798",
"fax_number": "813-962-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCARINO",
"first_name": "DAN",
"middle_name": "DOMINIC",
"credential": "BPHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS18126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.