Brenda Dawn Dall, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

56834 Issued in CA

Practice address

44100 Jefferson St
Indio, CA 92201-9014

Phone

(760) 772-2759

Fax

(760) 772-5713

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Walgreen Co

  dba Walgreens #01254

  • Pharmacy
  • Indio, CA
  • NPI 1023051638
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1265712996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44100 JEFFERSON ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019014",
            "telephone_number": "760-772-2759",
            "fax_number": "760-772-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44100 JEFFERSON ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019014",
            "telephone_number": "760-772-2759",
            "fax_number": "760-772-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALL",
        "first_name": "BRENDA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56834",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cure Me Medical Group, Inc.
• CV Physical Therapy, Inc. (Movement For Life Physical Therapy)
• CV Surgical Center
• Sharon B Dabareiner, P.T.
• Robert M Daddio, D.D.S.
• Mark R. Danforth, D.O.
• Assad U Darawal, MD
• John Edward Davidson
• Dora Davila
• Dawson Chiropractic Corp

• Pharmacist in Indio, CA
• Providers in Indio, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.