Daniel Draper, PHARMD
Individual provider Active NPI Pharmacist · Jackson, WY
NPI 1154795151 · NPPES record last updated Nov 14, 2015
Key facts
- NPI
- 1154795151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3656 (WY)
- Practice address
- 1425 S Hwy 89
Jackson, WY 83001-8515 - Phone
- (307) 733-8746
- Fax
- (307) 733-8824
- NPI assigned
- Nov 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 3656 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3656 | WY | Yes |
Addresses
Primary practice location
1425 S Hwy 89
Jackson, WY 83001-8515
Mailing address
PO Box 14330
Jackson, WY 83002-4330
Phone (307) 733-8746
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2015. 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.