Active NPI
Antonina Dimova
- Pharmacist
- Springfield, MA
National Provider Identifier
1528405040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234492
- Practice address
- 303 Maple St Apt B2
Springfield, MA 01105-1959 - Phone
- (413) 205-7957
- NPI assigned
- May 23, 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 | PH234492 | MA | Primary |
Addresses
Primary practice location
303 Maple St Apt B2
Springfield, MA 01105-1959
Mailing address
303 Maple St Apt B2
Springfield, MA 01105-1959
Phone (413) 205-7957
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 |
|---|---|---|---|
| PH234492 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1528405040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MAPLE ST APT B2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051959",
"telephone_number": "413-205-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MAPLE ST APT B2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051959",
"telephone_number": "413-205-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOVA",
"first_name": "ANTONINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.