Miriam Datikashvili, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441275 Issued in PA

Practice address

3200 Red Lion Rd
Philadelphia, PA 19114-1129

Phone

(215) 637-1200

NPI assigned

Aug 11, 2010

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

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1295040509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 DEPUE PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141129",
            "telephone_number": "215-637-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATIKASHVILI",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahyar Daskareh, M.D
• Chandra A Dass, MD
• Natasha Tara Dass, MD
• Shivam Dass, DO
• Natasha Ruth Dastur
• Steven Datlof, M.D.
• Elizabeth M Datner, MD
• Ananya Datta, N.P.
• Rahul Datta, MD PHD
• Jaclyn Marie Dattilo, PHARM D

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.