Individual provider Active NPI

Richard Dexter Ladner, RPH

  • Pharmacist
  • Wilton Manors, FL
National Provider Identifier
1427784875
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS64341 Issued in FL
Practice address
2633 N Dixie Hwy
Wilton Manors, FL 33334-3724
Phone
(954) 561-4337
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS64341 FL Primary

Addresses

Primary practice location

2633 N Dixie Hwy
Wilton Manors, FL 33334-3724

Mailing address

2633 N Dixie Hwy
Wilton Manors, FL 33334-3724
Phone (954) 561-4337

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS64341FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc CurrentSince Jul 31, 2022 Accepting new patients
Publix Super Markets Inc PastSince Jul 31, 2022 Accepting new patients

Locations

2633 N Dixie Hwy
Wilton Manors, FL 33334
Phone (954) 561-4337

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1427784875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 N DIXIE HWY",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343724",
            "telephone_number": "954-561-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 N DIXIE HWY",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343724",
            "telephone_number": "954-561-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "RICHARD",
        "middle_name": "DEXTER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.