Raymond Douglas Daenzer, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302043183 Issued in MI

Practice address

310 E Vates St
Frankenmuth, MI 48734-1151

Phone

(989) 780-2108

NPI assigned

Jun 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saginaw Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Saginaw, MI
  • NPI 1104552710
  NPD
• Woodward Detroit CVS LLC

  • Community/Retail Pharmacy
  • Frankenmuth, MI
  • NPI 1154725570
  NPD (past)

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1063907178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E VATES ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341151",
            "telephone_number": "989-780-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E VATES ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341151",
            "telephone_number": "989-780-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAENZER",
        "first_name": "RAYMOND",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154725570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Crang, LLP
• Stacey Lynn Crites, OTR
• Crossroads Counseling Ministries
• Melissa Anne Czubaj, DPT, ATC
• Rand Daboul
• Dalton Chiropractic PLLC
• Dalton Chiropractic PLLC
• Jessica Lynn Dawson, MD, MSC
• Dca Associates, LLC
• Bridget Demo

• Pharmacist in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.