Individual provider Active NPI

Alan Donald Traster, RPH

  • Geriatric Pharmacist
  • Delray Beach, FL
National Provider Identifier
1891914883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
PS17741 Issued in FL
Practice address
15966 Laurel Creek Dr
Delray Beach, FL 33446-9556
Phone
(561) 381-7633
Fax
(561) 495-4257
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 28RI01361800 NJ
Geriatric Pharmacist 1835G0303X 028578-1 NY
Geriatric Pharmacist 1835G0303X PS17741 FL Primary

Addresses

Primary practice location

15966 Laurel Creek Dr
Delray Beach, FL 33446-9556

Mailing address

15966 Laurel Creek Dr
Delray Beach, FL 33446-9556
Phone (561) 381-7633

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

LicenseStateTypeSpecialty
PS17741FLMDGeriatric Pharmacist
28RI01361800NJMDGeriatric Pharmacist
028578-1NYMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891914883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15966 LAUREL CREEK DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469556",
            "telephone_number": "561-381-7633",
            "fax_number": "561-495-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15966 LAUREL CREEK DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469556",
            "telephone_number": "561-381-7633",
            "fax_number": "561-495-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASTER",
        "first_name": "ALAN",
        "middle_name": "DONALD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": "28RI01361800",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "028578-1",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS17741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.