IndividualActive
Jean Marie Fanba
NPI 1174937452 · Pharmacist · Prince Frederick, MD
Jean Marie Fanba is a Pharmacist provider in Prince Frederick, MD (NPI 1174937452).
Provider details
- NPI number
- 1174937452
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 19327 (MD)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
355 Market Square Dr
Prince Frederick, MD 20678-3173
Phone: (410) 535-5313
Fax: (410) 535-5762
Street-level locationGet directions
Mailing address
355 Market Square Dr
Prince Frederick, MD 20678-3173
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2014-06-16
Frequently asked questions
- What is Jean Marie Fanba's NPI number?
- Jean Marie Fanba's National Provider Identifier (NPI) is 1174937452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jean Marie Fanba's specialty?
- Jean Marie Fanba is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jean Marie Fanba located?
- Jean Marie Fanba's practice location on file with NPPES is 355 Market Square Dr, Prince Frederick, MD 20678-3173.
- What is Jean Marie Fanba's phone number?
- The practice phone number listed in the NPPES registry for Jean Marie Fanba is (410) 535-5313.
- Is Jean Marie Fanba's NPI active?
- Yes — Jean Marie Fanba's NPI (1174937452) is active in the NPPES registry as of the last update on 2014-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.