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
| License | State | Type | Specialty |
|---|---|---|---|
| PS42013 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.