Active NPI
Dalia Rashan Mack, PHARM.D.
- Pharmacotherapy Pharmacist
- Roxbury Crossing, MA
National Provider Identifier
1194711705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26294
- Practice address
- 75 Saint Alphonsus St
Apt. 803
Roxbury Crossing, MA 02120-1676 - Phone
- (617) 740-2526
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26294 | MA | Primary |
Addresses
Primary practice location
75 Saint Alphonsus St
Apt. 803
Roxbury Crossing, MA 02120-1676
Mailing address
75 Saint Alphonsus St
Apt. 803
Roxbury Crossing, MA 02120-1676
Phone (617) 740-2526
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26294 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1194711705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SAINT ALPHONSUS ST",
"address_2": "APT. 803",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201676",
"telephone_number": "617-740-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SAINT ALPHONSUS ST",
"address_2": "APT. 803",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201676",
"telephone_number": "617-740-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "DALIA",
"middle_name": "RASHAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "26294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.