Active NPI
Nyasha Mack Hall, PHARMD
- Geriatric Pharmacist
- Lantana, FL
National Provider Identifier
1639782576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PS33824
- Practice address
- 7031 Washington Ave
Lantana, FL 33462-5201 - Phone
- (561) 585-6911
- Fax
- (561) 585-2610
- NPI assigned
- Aug 29, 2020
- Last updated
- Aug 29, 2020
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PS33824 | FL | Primary |
Addresses
Primary practice location
7031 Washington Ave
Lantana, FL 33462-5201
Mailing address
151 Lake Monterey Cir
Boynton Beach, FL 33426-8436
Phone (305) 484-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS33824 | Other | FL | FLORIDA BOARD OF PHARMACY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS33824 | FL | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1639782576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LAKE MONTEREY CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268436",
"telephone_number": "305-484-6103",
"fax_number": "561-585-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 WASHINGTON AVE",
"city": "LANTANA",
"state": "FL",
"postal_code": "334625201",
"telephone_number": "561-585-6911",
"fax_number": "561-585-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "NYASHA",
"middle_name": "MACK",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2020-08-29",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "FL",
"license": "PS33824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF PHARMACY",
"identifier": "PS33824",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
- Elise Julia Grubb, MS, OTRL
- Ailin Milagros Grullon Abreu
- Guardian Angel Rheumatology Reviews, PA (Hope Starkman,MD)
- Isabel Estudante Guerreiro
- Nikhil R Gupta, MD
- Hamlin SNF Operations LLC
- Hamlin Terrace Foundation (Hamlin Place)
- Tyler Hamrin, PHARM.D.
- Hands of Healing Home Health Care Inc
- Harmony TMS Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.