Active NPI
Maria Cruz Fandetti, RPH
- Pharmacist
- Hallandale, FL
National Provider Identifier
1831260587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS18763
- Practice address
- 2500 E Hallandale BCH Blvd
BVD Get Drugs
Hallandale, FL 33009 - Phone
- (954) 457-8011
- Fax
- (954) 457-7164
- NPI assigned
- Nov 13, 2006
- Last updated
- Feb 22, 2011
- 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 | PS18763 | FL | Primary |
Addresses
Primary practice location
2500 E Hallandale BCH Blvd
BVD Get Drugs
Hallandale, FL 33009
Mailing address
2436 Glascott PT
Hoover, AL 35226-6320
Phone (205) 941-9905
Other names 1
- Mrs. Maria Esther Fandetti
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS18763 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proxycare of Alabama Inc | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Proxycare Alabama Inc
- Long Term Care Pharmacy
- Birmingham, AL
- NPI 1700181542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1831260587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 GLASCOTT PT",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266320",
"telephone_number": "205-941-9905",
"fax_number": "954-457-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BCH BLVD",
"address_2": "BVD GET DRUGS",
"city": "HALLANDALE",
"state": "FL",
"postal_code": "33009",
"telephone_number": "954-457-8011",
"fax_number": "954-457-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANDETTI",
"first_name": "MARIA",
"middle_name": "CRUZ",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS18763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "FANDETTI",
"middle_name": "ESTHER",
"prefix": "MRS.",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hallandale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.