Active NPI
Allison Kandersack, PHARMD
- Pharmacist
- Delray Beach, FL
National Provider Identifier
1427536622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46434
- Practice address
- 16205 S Military TRL
Delray Beach, FL 33484-6503 - Phone
- (561) 495-8331
- Fax
- (561) 495-8312
- NPI assigned
- Jul 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026824 | GA | |
| Pharmacist | 183500000X | PS46434 | FL | Primary |
Addresses
Primary practice location
16205 S Military TRL
Delray Beach, FL 33484-6503
Mailing address
9909 NW 14TH CT
Coral Springs, FL 33071-5925
Phone (954) 648-5566
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 |
|---|---|---|---|
| PS46434 | FL | MD | Pharmacist |
| RPH026824 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1427536622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 NW 14TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715925",
"telephone_number": "954-648-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16205 S MILITARY TRL",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846503",
"telephone_number": "561-495-8331",
"fax_number": "561-495-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDERSACK",
"first_name": "ALLISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026824",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.