Active NPI
Mymtm
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Tallahassee, FL
National Provider Identifier
1992046437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Legal business name
- MYMTM
- Practice address
- 515 E. Park Avenue
Tallahassee, FL 32301 - Phone
- (954) 261-8211
- Fax
- (954) 333-3822
- NPI assigned
- Mar 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn D. Dulin-Felix, RPH
- Title
- President
- Phone
- (954) 261-8211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | |||
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | Primary | ||
| Pharmacotherapy Pharmacist | 1835P1200X |
Addresses
Primary practice location
515 E. Park Avenue
Tallahassee, FL 32301
Mailing address
304 Indian Trace #191
Weston, FL 33326
National Provider Directory
National Provider DirectoryLocations
515 E Park Ave
Tallahassee, FL 32301
Phone (954) 261-8211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362700800000",
"number": "1992046437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 INDIAN TRACE #191",
"city": "WESTON",
"state": "FL",
"postal_code": "33326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E. PARK AVENUE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32301",
"telephone_number": "954-261-8211",
"fax_number": "954-333-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYMTM",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-08",
"status": "A",
"authorized_official_last_name": "DULIN-FELIX",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-261-8211",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.