Danielson Pharmacy Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Danielson, CT
NPI 1063624922 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1063624922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 159 (CT)
- Legal business name
- DANIELSON PHARMACY INC
- Practice address
- 77 Westcott Rd
Danielson, CT 06239-2929 - Phone
- (860) 774-9362
- Fax
- (860) 779-2647
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert F Nethercote, RPH
- Title
- Owner President
- Phone
- (860) 774-9362
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 159 | CT | |
| Prosthetic/Orthotic Supplier | 335E00000X | 159 | CT | Yes |
Addresses
Primary practice location
77 Westcott Rd
Danielson, CT 06239-2929
Mailing address
77 Westcott Rd
Danielson, CT 06239-2929
Phone (860) 774-9362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12DME0671CT01 | Other | CT | BCBS |
Other names
- Bonneville Pharmacy and Home Care
Other providers in Danielson, CT
- Megan Kathleen Corrado
- Alysha Crouse
- Mary Catherine D'Amico
- Daniels Pharmacy Inc
- Danielson Medical Associates, P.C.
- Danielson Pharmacy Inc
- Danielson Pharmacy LLC
- Danielson Pharmacy LLC
- Mary Elizabeth Davidson-Reed
- Marguerite Mary Davis
All providers in Danielson, CT · Prosthetic/Orthotic Supplier in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.