Daliza Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017113 Issued in NY

Legal business name

DALIZA PHARMACY INC.

Practice address

3481 Broadway
New York, NY 10031-5612

Phone

(212) 281-9410

Fax

(212) 281-9282

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis Antonio Perez Jr., BA BUSINESS

Title

Manager

Phone

(212) 281-9410

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Henry Badia Jr., RPH,

  • Pharmacist
  • New York, NY
  • NPI 1205091477
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154535110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315612",
            "telephone_number": "212-281-9410",
            "fax_number": "212-281-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315612",
            "telephone_number": "212-281-9410",
            "fax_number": "212-281-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALIZA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-281-9410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BA BUSINESS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00594087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Dalia, DC
• Daliana and Cassaro Surgical
• Katelyn Dalina, RN, CPN, MS, CPNP
• Jocelyn Casiple Dalisay, NY
• Boaz Dalit, PSYD.
• Tashawna Dallas
• Delaney Ann Dalldorf, MD
• Katherine Florence Dalldorf, MD MPH
• Nancy Dallek, PSYD
• Joseph Samuel Dallessandro, D.D.S.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.