Active NPI
Jarret Daniels, PHARMD
- Pharmacist
- Vestal, NY
National Provider Identifier
1093443061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28690
- Practice address
- 100 Rano Blvd
Vestal, NY 13850-2776 - Phone
- (607) 798-8878
- NPI assigned
- Aug 9, 2022
- 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 | 28690 | MD | Primary |
Addresses
Primary practice location
100 Rano Blvd
Vestal, NY 13850-2776
Mailing address
137 E Spencer St Apt a
Ithaca, NY 14850-5607
Phone (443) 684-0789
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28690 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1093443061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 E SPENCER ST APT A",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505607",
"telephone_number": "443-684-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RANO BLVD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502776",
"telephone_number": "607-798-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JARRET",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-09",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.