Joe Daniel, RPH
Individual provider Active NPI Pharmacist · Riverside, CT
NPI 1053922633 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1053922633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0014706 (CT)
- Practice address
- 1333 E Putnam Ave
Riverside, CT 06878-1529 - Phone
- (203) 637-1496
- NPI assigned
- Aug 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014706 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 0014706 | CT | Yes |
Addresses
Primary practice location
1333 E Putnam Ave
Riverside, CT 06878-1529
Mailing address
192 Sedgwick Ave
Yonkers, NY 10705-2672
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | joedaniel2004@gmail.com | Health Information Exchange (HIE) | |
| Other URL | joedaniel2004@gmail.com | WALGREENS | |
| Other URL | joedaniel2004@gmail.com | Health Information Exchange (HIE) | |
| Other URL | joedaniel2004@gmail.com | WALGREENS |
Other providers in Riverside, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.