Active NPI
Danny K Elkins, RPH
- Pharmacist
- New Boston, TX
National Provider Identifier
1124104179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24447
- Practice address
- 134 Hwy 82 West
New Boston, TX 75570 - Phone
- (903) 628-5505
- Fax
- (903) 628-3565
- NPI assigned
- Oct 31, 2006
- 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 | 24447 | TX | Primary |
Addresses
Primary practice location
134 Hwy 82 West
New Boston, TX 75570
Mailing address
1211 Brooks St
New Boston, TX 75570-3904
Phone (903) 628-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142590 | Medicaid | TX |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24447 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Boston Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124104179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 BROOKS ST",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755703904",
"telephone_number": "903-628-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HWY 82 WEST",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "75570",
"telephone_number": "903-628-5505",
"fax_number": "903-628-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "DANNY",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142590",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Boston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.