Elizabeth Dale, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

6976 Issued in MT

Practice address

2527 N Reserve St
Missoula, MT 59808-1313

Phone

(406) 543-1163

NPI assigned

Dec 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Missoula, MT
  • NPI 1629083662
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1477823912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 FESCUE COURT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 N RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081313",
            "telephone_number": "406-543-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "6976",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2000157314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Provence Dabbs, PCLC
• Mark Dadmun, M.A.
• Richard Thomas Dahlen, MD
• Kaija Dahlstrom, MS, CCC-SLP
• Dale R. Thoman, O.D. PLLC
• Kyle Laird Dale, MD
• Dawn M. Dalili, N.D.
• Melanie Rose Dalpias, ATC
• Mark Dalton, D.O.
• Jessica Marie Dalzell, MD

• Pharmacist in Missoula, MT
• Providers in Missoula, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.