Active NPI
Daniel Lee Bracken, BSCPH
- Pharmacist
- Pottstown, PA
National Provider Identifier
1083931802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP031096L
- Practice address
- 1140 Town Square Rd
Pottstown, PA 19465-1017 - Phone
- (610) 323-4080
- Fax
- (610) 970-6316
- NPI assigned
- May 3, 2010
- Sex
- Male
- Sole proprietor
- No
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 | RP031096L | PA | Primary |
Addresses
Primary practice location
1140 Town Square Rd
Pottstown, PA 19465-1017
Mailing address
2 Ivy CT
Douglassville, PA 19518-1133
Phone (610) 823-5248
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 |
|---|---|---|---|
| RP031096L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Pottstown, PA
- NPI 1508965856
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1083931802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 IVY CT",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181133",
"telephone_number": "610-823-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 TOWN SQUARE RD",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194651017",
"telephone_number": "610-323-4080",
"fax_number": "610-970-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKEN",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "BSCPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP031096L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.