Individual provider Active NPI

Cara Petrou

  • Pharmacist
  • Palm Beach Gardens, FL
National Provider Identifier
1922385111
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS32292 Issued in FL
Practice address
4860 Donald Ross Rd
Palm Beach Gardens, FL 33418-7201
Phone
(561) 351-9676
Fax
(561) 630-9365
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS32292 FL Primary

Addresses

Primary practice location

4860 Donald Ross Rd
Palm Beach Gardens, FL 33418-7201

Mailing address

4860 Donald Ross Rd
Jupiter, FL 33418
Phone (561) 351-9676

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
PS32292FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1922385111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 DONALD ROSS RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "561-351-9676",
            "fax_number": "561-630-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 DONALD ROSS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187201",
            "telephone_number": "561-351-9676",
            "fax_number": "561-630-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROU",
        "first_name": "CARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS32292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.