Active NPI
Daniel James Horn
- Pharmacist
- De Pere, WI
National Provider Identifier
1083212906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16510-40
- Practice address
- 1415 Lawrence Dr
De Pere, WI 54115-3927 - Phone
- (920) 336-7168
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 16510-40 | WI | Primary |
Addresses
Primary practice location
1415 Lawrence Dr
De Pere, WI 54115-3927
Mailing address
1415 Lawrence Dr
De Pere, WI 54115-3927
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16510-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1083212906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 LAWRENCE DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541153927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 LAWRENCE DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541153927",
"telephone_number": "920-336-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "DANIEL",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16510-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.