Individual provider Active NPI

Nadia Dadras Roshanger, PHARM.D.

  • Pharmacist
  • Hallandale Beach, FL
National Provider Identifier
1891454716
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63439 Issued in FL
Practice address
2017 S Ocean Dr Apt 1403W
Hallandale Beach, FL 33009-6654
Phone
(904) 887-0337
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63439 FL Primary

Addresses

Primary practice location

2017 S Ocean Dr Apt 1403W
Hallandale Beach, FL 33009-6654

Mailing address

2017 S Ocean Dr Apt 1403W
Hallandale Beach, FL 33009-6654
Phone (904) 887-0337

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

LicenseStateTypeSpecialty
PS63439FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1891454716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S OCEAN DR APT 1403W",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096654",
            "telephone_number": "904-887-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S OCEAN DR APT 1403W",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096654",
            "telephone_number": "904-887-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHANGER",
        "first_name": "NADIA",
        "middle_name": "DADRAS",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.