Active NPI
Mary Alice Foote, PHARMD
- Pharmacist
- Fernandina Beach, FL
National Provider Identifier
1912509837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43482
- Practice address
- 870 Sadler Rd
Fernandina Beach, FL 32034-4752 - Phone
- (904) 261-0836
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 16, 2020
- 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 | PS43482 | FL | Primary |
Addresses
Primary practice location
870 Sadler Rd
Fernandina Beach, FL 32034-4752
Mailing address
2428 1St Ave
Fernandina Beach, FL 32034-2310
Phone (904) 583-8952
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43482 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1912509837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 1ST AVE",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320342310",
"telephone_number": "904-583-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 SADLER RD",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344752",
"telephone_number": "904-261-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "MARY",
"middle_name": "ALICE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernandina Beach, FL
- Florida Care Alf of Amelia Island Inc (Amelia Springs Assisted Living)
- Florida Psychological & Associated Healthcare
- Flourish Mental Health and Wellness
- Mark William Floyd, MD
- Stacey Sara Foley, DPT
- Virginia Wall Foxworth, LMHC
- Nicole Frazee-Stewart, PTA
- Randall B Fulford, PA-C
- Fuller Health & Wellness, LLC
- Ivanna Fux Kahn, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.