Active NPI
Susan Pomphrey Frankino
- Pharmacist
- Boca Raton, FL
National Provider Identifier
1922603877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS20086
- Practice address
- 686 Glades Rd
Boca Raton, FL 33431-6414 - Phone
- (561) 395-6132
- Fax
- (561) 391-5835
- NPI assigned
- Nov 30, 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 | PS20086 | FL | Primary |
Addresses
Primary practice location
686 Glades Rd
Boca Raton, FL 33431-6414
Mailing address
3511 NW 27TH Ave
Boca Raton, FL 33434-3441
Phone (561) 702-0960
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS20086 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1922603877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 NW 27TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343441",
"telephone_number": "561-702-0960",
"fax_number": "561-391-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 GLADES RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316414",
"telephone_number": "561-395-6132",
"fax_number": "561-391-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKINO",
"first_name": "SUSAN",
"middle_name": "POMPHREY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS20086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.