Active NPI
Michael Fournier
- Pharmacist
- Medley, FL
National Provider Identifier
1740683374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42786
- Practice address
- 7863 NW 112TH PL
Medley, FL 33178-1304 - Phone
- (305) 335-5052
- NPI assigned
- Sep 26, 2014
- Last updated
- Sep 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | PS42786 | FL | Primary |
Addresses
Primary practice location
7863 NW 112TH PL
Medley, FL 33178-1304
Mailing address
7863 NW 112TH PL
Medley, FL 33178-1304
Phone (305) 335-5052
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 |
|---|---|---|---|
| PS42786 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1740683374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7863 NW 112TH PL",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781304",
"telephone_number": "305-335-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7863 NW 112TH PL",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781304",
"telephone_number": "305-335-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.