Active NPI
Dana Rene Fasanella, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Salisbury, MD
National Provider Identifier
1750697488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 20907
- Practice address
- 1665 Woodbrooke Dr
Salisbury, MD 21804-8502 - Phone
- (410) 546-6650
- Fax
- (410) 546-2656
- NPI assigned
- Aug 18, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48952 | TX | |
| Pharmacist | 183500000X | 21079 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20907 | MD | Primary |
Addresses
Primary practice location
1665 Woodbrooke Dr
Salisbury, MD 21804-8502
Mailing address
1 Backbone Rd
Somerset Hall - Umes School of Pharmacy
Princess Anne, MD 21853
Phone (410) 621-2292
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48952 | TX | MD | Pharmacist |
| 20907 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 21079 | NC | MD | Nuclear Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1750697488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BACKBONE RD",
"address_2": "SOMERSET HALL - UMES SCHOOL OF PHARMACY",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "21853",
"telephone_number": "410-621-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WOODBROOKE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218048502",
"telephone_number": "410-546-6650",
"fax_number": "410-546-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASANELLA",
"first_name": "DANA",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48952",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21079",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "20907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.