Active NPI
Nahla D Rizkallah, PHARMD
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1710009600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS24799
- Practice address
- 2295 Victoria Ave
Suite 309
Fort Myers, FL 33901-3884 - Phone
- (239) 338-2926
- Fax
- (239) 338-2927
- NPI assigned
- Apr 4, 2007
- Last updated
- Mar 23, 2009
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS24799 | FL | Primary |
Addresses
Primary practice location
2295 Victoria Ave
Suite 309
Fort Myers, FL 33901-3884
Mailing address
1934 Datura St
Sarasota, FL 34239-3817
Phone (941) 366-8141
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 |
|---|---|---|---|
| PS24799 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1710009600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 DATURA ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393817",
"telephone_number": "941-366-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 VICTORIA AVE",
"address_2": "SUITE 309",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339013884",
"telephone_number": "239-338-2926",
"fax_number": "239-338-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZKALLAH",
"first_name": "NAHLA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS24799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Riverwalk Anesthesia LLC (Riverwalk Anesthesia)
- Riverwalk ASC, LLC (Riverwalk ASC)
- Riverwalk Endoscopy and Surgery Center LLC
- Riverwalk Surgery Center, Inc
- Amanda Kayla Rivkin, MA, BCBA
- Lorraine Rizzo
- RJ3 SWFL (First Choice Pain Care Clinic SWFL)
- Tristan Marie Roach
- Road2Wellness Services L.L.C.
- Stephanie Roark, L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.