Individual provider Active NPI

Danielle Marie Milbrandt, PHARMD

  • Pharmacist
  • Boone, IA
National Provider Identifier
1063722445
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21635 Issued in IA
Practice address
120 S Story St
Boone, IA 50036-4739
Phone
(515) 432-3460
Fax
(515) 432-7169
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5751 SD
Pharmacist 183500000X 21635 IA Primary

Addresses

Primary practice location

120 S Story St
Boone, IA 50036-4739

Mailing address

120 S Story St
Boone, IA 50036-4739
Phone (515) 432-3460

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
21635IAMDPharmacist
5751SDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1063722445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S STORY ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-3460",
            "fax_number": "515-432-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STORY ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-3460",
            "fax_number": "515-432-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBRANDT",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5751",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.