Active NPI
Dylan Nand, PHARMD
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1295492239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH85146
- Practice address
- 1165 Montgomery Dr
Santa Rosa, CA 95405-4801 - Phone
- (707) 525-5300
- NPI assigned
- Nov 24, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH85146 | CA | Primary |
Addresses
Primary practice location
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Mailing address
486 Lancaster LN
Bay Point, CA 94565-3280
Phone (925) 848-7695
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 |
|---|---|---|---|
| RPH85146 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1295492239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 LANCASTER LN",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945653280",
"telephone_number": "925-848-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054801",
"telephone_number": "707-525-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAND",
"first_name": "DYLAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH85146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.