Individual provider Active NPI

Barbara Jean Dagesse, RPH

  • Pharmacist
  • Pinellas Park, FL
National Provider Identifier
1518205954
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS21000 Issued in FL
Practice address
4421 Park Blvd N
Pinellas Park, FL 33781-3540
Phone
(727) 239-4529
Fax
(727) 827-2809
NPI assigned
Jan 18, 2013
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS21000 FL Primary
Pharmacist 183500000X 033.0003095 VT

Addresses

Primary practice location

4421 Park Blvd N
Pinellas Park, FL 33781-3540

Mailing address

4421 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (727) 239-4529

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
PS21000FLMDPharmacist
033.0003095VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness, LLC CurrentSince Mar 12, 2023 Accepting new patients
Live Better Pharmacy, LLC. CurrentSince Mar 12, 2023 Accepting new patients

Locations

4421 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 239-4529

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1518205954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-239-4529",
            "fax_number": "727-827-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-239-4529",
            "fax_number": "727-827-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGESSE",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21000",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.