Active NPI
Ailien Del Risco
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1700553161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62869
- Practice address
- 1301 N Dixie Hwy
West Palm Beach, FL 33401-2703 - Phone
- (561) 366-1125
- NPI assigned
- Aug 24, 2021
- 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 | PS62869 | FL | Primary |
Addresses
Primary practice location
1301 N Dixie Hwy
West Palm Beach, FL 33401-2703
Mailing address
1610 Presidential Way Apt 105
West Palm Beach, FL 33401-1827
Phone (787) 557-9899
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 |
|---|---|---|---|
| PS62869 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1700553161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 PRESIDENTIAL WAY APT 105",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334011827",
"telephone_number": "787-557-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012703",
"telephone_number": "561-366-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL RISCO",
"first_name": "AILIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.