Dale Fischer Blum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP028959L Issued in PA

Practice address

8716 Frankford Ave
Phila, PA 19136-1315

Phone

(215) 331-0200

Fax

(215) 338-7788

NPI assigned

Feb 21, 2008

Last updated

Feb 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Pathmark Stores Inc

  dba Pathmark Pharmacy

  • Pharmacy
  • Philadelphia, PA
  • NPI 1215034087
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1629247903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POLDER DR",
            "city": "UPPER HOLLAND",
            "state": "PA",
            "postal_code": "190531522",
            "telephone_number": "215-741-0147",
            "fax_number": "215-741-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 FRANKFORD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191361315",
            "telephone_number": "215-331-0200",
            "fax_number": "215-338-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DALE",
        "middle_name": "FISCHER",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028959L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP411788L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Blackwell
• Lucille Marie Blake, MS
• Shelley Blaker, PA
• Blessed Hands Home Care Agency L.L.C.
• Robert Paul Bloch, DPM
• Susan K. Blume, PT
• Remigio Victor Boccio, M.D.
• David Scott Bodoff, D.C.
• Gerald Michael Bonko, RPH
• Scott J Bonomo, DMD

• Pharmacist in Phila, PA
• Providers in Phila, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.