Active NPI
Dallas Erinn Elizabeth Kendra, PHARMD
- Pharmacist
- Mountain Top, PA
National Provider Identifier
1346063997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP459044
- Practice address
- 89 S Main St
Mountain Top, PA 18707-1920 - Phone
- (570) 474-6520
- NPI assigned
- Nov 4, 2024
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP459044 | PA | Primary |
Addresses
Primary practice location
89 S Main St
Mountain Top, PA 18707-1920
Mailing address
495 2ND St
Mountain Top, PA 18707-9558
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 |
|---|---|---|---|
| RP459044 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1346063997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 2ND ST",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187079558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 S MAIN ST",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071920",
"telephone_number": "570-474-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRA",
"first_name": "DALLAS ERINN",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP459044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.