Active NPI
Nadezhda Dallier, PHARMACIST
- Pharmacist
- Tampa, FL
National Provider Identifier
1487994752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49867
- Practice address
- 4605 W Kennedy BLV
Tampa, FL 33609 - Phone
- (813) 286-1366
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49867 | FL | Primary |
Addresses
Primary practice location
4605 W Kennedy BLV
Tampa, FL 33609
Mailing address
4605 W Kennedy BLV
Tampa, FL 33609
Phone (813) 286-1366
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS49867 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1487994752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 W KENNEDY BLV",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-286-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 W KENNEDY BLV",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-286-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLIER",
"first_name": "NADEZHDA",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.