Marci Dillard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS40655 Issued in FL

Practice address

463855 State Road 200
Yulee, FL 32097-3639

Phone

(904) 261-2405

Fax

(904) 261-2410

NPI assigned

Sep 13, 2011

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #1406

  • Community/Retail Pharmacy
  • Yulee, FL
  • NPI 1962776286
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1083996482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436855 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975241",
            "telephone_number": "904-261-2405",
            "fax_number": "904-261-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463855 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973639",
            "telephone_number": "904-261-2405",
            "fax_number": "904-261-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "MARCI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Desai, PT, DPT
• Tena-Kay Devens, PHARMD
• Ashu Dhanjal, MD
• Dawn J Diaz, ARNP
• Nathanial Todd Diehl, RBT
• Shonna Lyn Dillman, ARNP
• Emmie Dimayuga-Corso, FNP
• Hailey Morgan Dittenbir
• Renee Elizabeth Doll, MD
• Carol Dollard, O.T.

• Pharmacist in Yulee, FL
• Providers in Yulee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.