DR. JEAN MARIE FANBA
NPI 1174937452
Pharmacist in Prince Frederick, MD

Active since June 16, 2014
355 MARKET SQUARE DR, PRINCE FREDERICK, MD 20678(410) 535-5313(410) 535-5762 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jean Marie Fanba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEAN MARIE FANBA (NPI 1174937452) is an individual pharmacist in Prince Frederick, Maryland, licensed in Maryland (19327) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1174937452
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JEAN MARIE FANBA
Location Address355 MARKET SQUARE DRPrince Frederick, MD 20678-3173
Mailing Address355 Market Square DrPrince Frederick, MD 20678-3173 · (410) 535-5313 · Fax (410) 535-5762
Fax(410) 535-5762
Sole ProprietorNo
Enumeration DateJune 16, 2014
NPI 1174937452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 19327
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
355 MARKET SQUARE DR, Prince Frederick, MD 20678

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacist
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacist
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacy
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacist
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacist
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678
Pharmacist (Pharmacotherapy)
355 MARKET SQUARE DR
PRINCE FREDERICK, MD 20678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Marie Fanba's NPI number?

The NPI number for Jean Marie Fanba is 1174937452. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Jean Marie Fanba located?

Jean Marie Fanba practices at 355 Market Square Dr, Prince Frederick, MD 20678. The listed phone number is (410) 535-5313.

What is Jean Marie Fanba's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jean Marie Fanba was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.