Active NPI
Robert Edward Daley, RPH
- Pharmacist
- Keystone Heights, FL
National Provider Identifier
1013476217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS16755
- Practice address
- 100 Commercial Dr
Keystone Heights, FL 32656-6802 - Phone
- (352) 473-7243
- Fax
- (352) 473-9149
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- 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 | PS16755 | FL | Primary |
Addresses
Primary practice location
100 Commercial Dr
Keystone Heights, FL 32656-6802
Mailing address
100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone (352) 473-7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS16755 | Other | FL | BOARD OF PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BDaley@azahealth.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS16755 | FL | MD | Pharmacist |
Interoperability endpoints
- bdaley@azahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1013476217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMERCIAL DR",
"city": "KEYSTONE HEIGHTS",
"state": "FL",
"postal_code": "326566802",
"telephone_number": "352-473-7243",
"fax_number": "352-473-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMERCIAL DR",
"city": "KEYSTONE HEIGHTS",
"state": "FL",
"postal_code": "326566802",
"telephone_number": "352-473-7243",
"fax_number": "352-473-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS16755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE",
"identifier": "PS16755",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BDaley@azahealth.org",
"affiliation": "N",
"endpointDescription": "Work EMail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Commercial Dr",
"city": "Keystone Heights",
"state": "FL",
"country_code": "US",
"postal_code": "326566802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Keystone Heights, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.