Individual provider Active NPI

Frederika Braverman

  • Pharmacist
  • Delray Beach, FL
National Provider Identifier
1851993430
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49252 Issued in FL
Practice address
16205 S Military TRL
Delray Beach, FL 33484-6503
Phone
(561) 809-7073
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49252 FL Primary

Addresses

Primary practice location

16205 S Military TRL
Delray Beach, FL 33484-6503

Mailing address

16205 S Military TRL
Delray Beach, FL 33484-6503
Phone (561) 809-7073

Other identifiers 1

IdentifierTypeStateIssuer
FBRAVEROtherFLEMPLOYEE ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Fbraver.s01589@us.wal-mart.com
Direct Messaging Address Fbraver.s01589@us.wal-mart.com Direct

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

LicenseStateTypeSpecialty
PS49252FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1851993430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846503",
            "telephone_number": "561-809-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846503",
            "telephone_number": "561-809-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "FREDERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID",
            "identifier": "FBRAVER",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fbraver.s01589@us.wal-mart.com",
            "affiliation": "N",
            "address_1": "16205 S Military Trl",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334846503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fbraver.s01589@us.wal-mart.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16205 S Military Trl",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334846503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.