Individual provider Active NPI

Linda Maria Nadal, R.PH.

  • Pharmacist
  • Hialeah, FL
National Provider Identifier
1063586279
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS30282 Issued in FL
Practice address
15450 NW 77TH CT
Winn Dixie Pharmacy #262
Hialeah, FL 33016-6728
Phone
(305) 558-6071
Fax
(305) 558-6728
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30282 FL Primary

Addresses

Primary practice location

15450 NW 77TH CT
Winn Dixie Pharmacy #262
Hialeah, FL 33016-6728

Mailing address

1580 SW 187TH Ter
Pembroke Pines, FL 33029-6163
Phone (954) 483-0877

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

LicenseStateTypeSpecialty
PS30282FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063586279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SW 187TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296163",
            "telephone_number": "954-483-0877",
            "fax_number": "305-558-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NW 77TH CT",
            "address_2": "WINN DIXIE PHARMACY #262",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166728",
            "telephone_number": "305-558-6071",
            "fax_number": "305-558-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAL",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.