Active NPI
Lami Dantata
- Pharmacist
- Bradenton, FL
National Provider Identifier
1619367067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PSI 29690
- Practice address
- 4506 3Rd Street Cir W Apt 258
Bradenton, FL 34207-1511 - Phone
- (941) 518-3178
- NPI assigned
- Jan 23, 2015
- Last updated
- Jan 23, 2015
- 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 | PSI 29690 | FL | Primary |
Addresses
Primary practice location
4506 3Rd Street Cir W Apt 258
Bradenton, FL 34207-1511
Mailing address
4506 3Rd Street Cir W Apt 258
Bradenton, FL 34207-1511
Phone (941) 518-3178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSI 29690 | Other | FL | DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| PSI 29690 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Life Health Point Inc | Current | Accepting new patients |
Organizations & group practices 1
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": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1619367067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4506 3RD STREET CIR W APT 258",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071511",
"telephone_number": "941-518-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4506 3RD STREET CIR W APT 258",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071511",
"telephone_number": "941-518-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTATA",
"first_name": "LAMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PSI 29690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "PSI 29690",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.