Nicholas Paul Dotta, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS49292 Issued in FL

Practice address

853 Harbor Blvd
T-2085
Destin, FL 32541-2709

Phone

(850) 654-0852

Fax

(850) 460-3186

NPI assigned

Aug 1, 2012

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1295081891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 HARBOR BLVD",
            "address_2": "T-2085",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412709",
            "telephone_number": "850-654-0852",
            "fax_number": "850-460-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 HARBOR BLVD",
            "address_2": "T-2085",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412709",
            "telephone_number": "850-654-0852",
            "fax_number": "850-460-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTA",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49292",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2012021909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.