Individual provider Active NPI

David J Dorwart, R.PH., P.D.

  • Pharmacist
  • Celebration, FL
National Provider Identifier
1790940690
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0029425 Issued in PA
Practice address
29 Blake Blvd
Celebration, FL 34747-5414
Phone
(321) 939-3106
Fax
(863) 421-0578
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS29425 FL
Pharmacist 183500000X PS0029425 PA Primary

Addresses

Primary practice location

29 Blake Blvd
Celebration, FL 34747-5414

Mailing address

10199 Pointview CT
Orlando, FL 32836-6300
Phone (407) 354-1243

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS29425FLMDPharmacist
PS0029425PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc PastSince Jul 4, 2021 Accepting new patients
Publix Super Markets Inc PastSince Jul 4, 2021 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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1790940690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10199 POINTVIEW CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366300",
            "telephone_number": "407-354-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BLAKE BLVD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475414",
            "telephone_number": "321-939-3106",
            "fax_number": "863-421-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWART",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "R.PH., P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29425",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PS0029425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.