JEFFREY J FATTA
NPI 1285916569
Pharmacist in Ormond Beach, FL

Active since September 13, 2011
790 W. GRANADA BLVD, ORMOND BEACH, FL 32174(386) 672-7107(386) 673-2892 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey J Fatta NPPES

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

JEFFREY J FATTA (NPI 1285916569) is an individual pharmacist in Ormond Beach, Florida, licensed in Florida (PS026762) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1285916569
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJEFFREY J FATTA
Location Address790 W. GRANADA BLVDOrmond Beach, FL 32174
Mailing Address790 W. Granada BlvdOrmond Beach, FL 32174 · (386) 672-7107 · Fax (386) 673-2892
Fax(386) 673-2892
Sole ProprietorNo
Enumeration DateSeptember 13, 2011
NPI 1285916569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS026762
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.
790 W. GRANADA BLVD, Ormond Beach, FL 32174

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 Jeffrey Fatta's NPI number?

The NPI number for Jeffrey Fatta is 1285916569. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Jeffrey Fatta located?

Jeffrey Fatta practices at 790 W. Granada Blvd, Ormond Beach, FL 32174. The listed phone number is (386) 672-7107.

What is Jeffrey Fatta'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 Jeffrey Fatta was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.