Active NPI
Maydi Penate Herrera
- Pharmacist
- Palm Springs, FL
National Provider Identifier
1770251787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62695
- Practice address
- 3184 S Congress Ave
Palm Springs, FL 33461-2552 - Phone
- (561) 968-8211
- NPI assigned
- Sep 3, 2021
- Last updated
- Sep 3, 2021
- Sex
- Female
- 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 | PS62695 | FL | Primary |
Addresses
Primary practice location
3184 S Congress Ave
Palm Springs, FL 33461-2552
Mailing address
4340 Gulfstream Rd
Lake Worth, FL 33461-4423
Phone (561) 983-7223
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 |
|---|---|---|---|
| PS62695 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1770251787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 GULFSTREAM RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614423",
"telephone_number": "561-983-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612552",
"telephone_number": "561-968-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENATE HERRERA",
"first_name": "MAYDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.