Active NPI
Shirley Marhofer
- Pharmacist
- Port Orange, FL
National Provider Identifier
1801579628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29733
- Practice address
- 740 Dunlawton Ave
Port Orange, FL 32127-4239 - Phone
- (386) 767-0563
- Fax
- (386) 761-7095
- NPI assigned
- Aug 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS29733 | FL | Primary |
Addresses
Primary practice location
740 Dunlawton Ave
Port Orange, FL 32127-4239
Mailing address
740 Dunlawton Ave
Port Orange, FL 32127-4239
Phone (386) 767-0563
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 |
|---|---|---|---|
| PS29733 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1801579628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274239",
"telephone_number": "386-767-0563",
"fax_number": "386-761-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274239",
"telephone_number": "386-767-0563",
"fax_number": "386-761-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARHOFER",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.