Samea E Dahdal, PHARMD

Individual provider Active NPI Pharmacist · New Port Ritchey, FL

NPI 1467723239 · NPPES record last updated Jan 25, 2012

Key facts

NPI
1467723239
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS42013 (FL)
Practice address
1841 Little Rd
New Port Ritchey, FL 34655
Phone
(727) 375-2077
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS42013FLMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS42013 FL Yes

Addresses

Primary practice location

1841 Little Rd
New Port Ritchey, FL 34655

Mailing address

1841 Little Rd
New Port Ritchey, FL 34655
Phone (727) 375-2077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2012.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1467723239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 LITTLE RD",
            "city": "NEW PORT RITCHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-375-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 LITTLE RD",
            "city": "NEW PORT RITCHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-375-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHDAL",
        "first_name": "SAMEA",
        "middle_name": "E",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.