Frederick Daddario, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0007227 Issued in CT

Practice address

698 Bank St
New London, CT 06320-5040

Phone

(860) 440-3566

NPI assigned

Sep 27, 2011

Last updated

Sep 27, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  • Pharmacy
  • New London, CT
  • NPI 1538344932
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1083997852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WASHINGTON ST",
            "address_2": "APT 18",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206066",
            "telephone_number": "860-447-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205040",
            "telephone_number": "860-440-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADDARIO",
        "first_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CT",
            "license": "0007227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrlyn L Curry Avery, PH.D.
• Holly Cyr, CISW
• Sara Cyr, LCSW
• Karen M D'Agostino, BS
• Teresa L D'Errico, APRN
• Jeffrey Daley, DPT
• Rachel K Daley, BS
• Robin Dana, LPC
• Mandie Danielson
• Jason Darmanin

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New London, CT
• Providers in New London, CT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.