Active NPI
Kecia Dailey
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1649816554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53626
- Practice address
- 375 Kings Hwy
Port Charlotte, FL 33983-5222 - Phone
- (941) 625-5008
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- 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 | PS53626 | FL | Primary |
Addresses
Primary practice location
375 Kings Hwy
Port Charlotte, FL 33983-5222
Mailing address
375 Kings Hwy
Port Charlotte, FL 33983-5222
Phone (941) 625-5008
Other names 1
- Kecia Carl
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 |
|---|---|---|---|
| PS53626 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1649816554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 KINGS HWY",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339835222",
"telephone_number": "941-625-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 KINGS HWY",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339835222",
"telephone_number": "941-625-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "KECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KECIA",
"last_name": "CARL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.