Active NPI
Nathan Dolk, PHARMD.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New York, NY
National Provider Identifier
1699055442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP438412
- Practice address
- 2760-62 Broadway
New York, NY 10025 - Phone
- (212) 678-7893
- Fax
- (212) 678-7962
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP438412 | PA | Primary |
Addresses
Primary practice location
2760-62 Broadway
New York, NY 10025
Mailing address
2760-62 Broadway
New York, NY 10025
Phone (212) 678-7893
Other practice location 1
2310 W Oregon Ave
Philadelphia, PA 19145-4122
Phone (215) 468-2481
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 |
|---|---|---|---|
| RP438412 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Duane Reade | 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 and National Provider Directory roles.
-
- Pharmacy
- New York, NY
- NPI 1548914351
-
- Pharmacy
- Philadelphia, PA
- NPI 1245247121
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1699055442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760-62 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-678-7893",
"fax_number": "212-678-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760-62 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-678-7893",
"fax_number": "212-678-7962"
}
],
"practiceLocations": [
{
"address_1": "2310 W Oregon Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191454122",
"country_code": "US",
"telephone_number": "215-468-2481",
"fax_number": "215-468-2486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLK",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP438412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.