Active NPI
Latrelle A Fakeye, RPH
- Pharmacist
- Deland, FL
National Provider Identifier
1932489499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS26115
- Practice address
- 2400 S Woodland Blvd
Deland, FL 32720-8636 - Phone
- (386) 822-4503
- Fax
- (386) 740-0112
- NPI assigned
- Aug 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PS26115 | FL | Primary |
Addresses
Primary practice location
2400 S Woodland Blvd
Deland, FL 32720-8636
Mailing address
700 Lake Emerald Ave
Orange City, FL 32763-8407
Phone (386) 847-9343
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS26115 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1932489499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LAKE EMERALD AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638407",
"telephone_number": "386-847-9343",
"fax_number": "386-740-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S WOODLAND BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327208636",
"telephone_number": "386-822-4503",
"fax_number": "386-740-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKEYE",
"first_name": "LATRELLE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
- Ana Evans, LCSW
- Everwise Nutrition
- Everyday Angels Inc
- Lawanda L Ewing, MSN, CRNP, FNP-BC
- Exquisite Healthcare Professionals LLC
- Family Practice of West Volusia Inc (Family Practice of West Volusia- Deland)
- Family Practice of West Volusia, P.a.
- Judson Fann, MS, ATC, LAT, CSCS
- Robert Fechtenburg, CRNA
- Andrew C Feldman, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.