Daniel Paul Blore, PHARMD
Individual provider Active NPI Pharmacist · Painesville, OH
NPI 1124614243 · NPPES record last updated Dec 13, 2020
Key facts
- NPI
- 1124614243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3230605 (OH)
- Practice address
- 1506 Mentor Ave
Painesville, OH 44077-1705 - Phone
- (440) 354-5609
- NPI assigned
- Dec 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3230605 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3230605 | OH | Yes |
Addresses
Primary practice location
1506 Mentor Ave
Painesville, OH 44077-1705
Mailing address
1506 Mentor Ave
Painesville, OH 44077-1705
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.