NPIMap

Individual provider Active NPI

Kathleen Daniels

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1124577101
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0021320 Issued in CO
Practice address
815 Cheyenne Meadows Rd
Colorado Springs, CO 80906-4929
Phone
(719) 527-1640
Fax
(719) 538-6056
NPI assigned
Oct 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0021320 CO Primary

Addresses

Primary practice location

815 Cheyenne Meadows Rd
Colorado Springs, CO 80906-4929

Mailing address

815 Cheyenne Meadows Rd
Colorado Springs, CO 80906-4929

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

LicenseStateTypeSpecialty
PHA.0021320COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC PastSince Oct 4, 2020 Accepting new patients
Dillon Companies LLC PastSince Oct 4, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1124577101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHEYENNE MEADOWS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHEYENNE MEADOWS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064929",
            "telephone_number": "719-527-1640",
            "fax_number": "719-538-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0021320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.