Active NPI
Depender Dedwal, ( R.PH )
- Pharmacist
- Sarasota, FL
National Provider Identifier
1558630855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 46133
- Practice address
- 3601 Bee Ridge Rd
Sarasota, FL 34233-1002 - Phone
- (941) 921-4681
- NPI assigned
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 | PS 46133 | FL | Primary |
Addresses
Primary practice location
3601 Bee Ridge Rd
Sarasota, FL 34233-1002
Mailing address
6157 Anise Dr
Sarasota, FL 34238-5149
Phone (941) 312-4686
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS 46133 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Health Care Solutions LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Sarasota, FL
- NPI 1003507203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564185600000",
"number": "1558630855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6157 ANISE DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385149",
"telephone_number": "941-312-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342331002",
"telephone_number": "941-921-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDWAL",
"first_name": "DEPENDER",
"credential": "( R.PH )",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2019-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 46133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.