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DIANA XIMENA CRUZ MACTAVISH
NPI 1659892214
Pharmacist in Lake Park, FL

Active since July 03, 2017
500 N CONGRESS AVE, LAKE PARK, FL 33403(561) 352-2381 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Feb 11, 2021, Jul 3, 2017 (3 updates tracked since 2017).

About Diana Ximena Cruz Mactavish NPPES

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

DIANA XIMENA CRUZ MACTAVISH (NPI 1659892214) is an individual pharmacist in Lake Park, Florida, licensed in Florida (PS56388) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1659892214
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDIANA XIMENA CRUZ MACTAVISH
Location Address500 N CONGRESS AVELake Park, FL 33403-3802
Mailing Address500 N Congress AveLake Park, FL 33403-3802 · (561) 352-2381
Phone(561) 352-2381
Sole ProprietorNo
Enumeration DateJuly 3, 2017
Last NPPES UpdateMay 17, 20223 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1659892214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS56388
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.
500 N CONGRESS AVE, Lake Park, FL 33403
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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.

MARIMER BELTRAN NUNEZ PHARMD
Pharmacist
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381
STEPHENIE FAYE MOOCK PHARM.D.
Pharmacist
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381
NICHOLAS FRAGISKAKIS
Pharmacist
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381
MEN T VAN RPH
Pharmacist
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (786) 282-2306
HOLIDAY CVS LLC
Pharmacy
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381
NICOLE RENE PARDUE PHARMD
Pharmacist
500 N CONGRESS AVE
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381
MRS. ROSA MARI BASSETT PHARMD
Pharmacist
500 N CONGRESS AVE, T-1941
LAKE PARK, FL 33403
Palm Beach County (561) 352-2381

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 Diana Mactavish's NPI number?

The NPI number for Diana Mactavish is 1659892214. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Diana Mactavish located?

Diana Mactavish practices at 500 N Congress Ave, Lake Park, FL 33403. The listed phone number is (561) 352-2381.

What is Diana Mactavish'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 Diana Mactavish was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.