Individual provider Active NPI

Daniel Joseph Horn, RPH

  • Pharmacist
  • Olean, NY
National Provider Identifier
1184956229
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030492 Issued in NY
Practice address
111 E Green St
Olean, NY 14760-3641
Phone
(716) 376-6337
Fax
(716) 372-2634
NPI assigned
Jan 30, 2010
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030492 NY Primary

Addresses

Primary practice location

111 E Green St
Olean, NY 14760-3641

Mailing address

111 E Green St
Olean, NY 14760-3641
Phone (716) 376-6337

Other identifiers 1

IdentifierTypeStateIssuer
01904916MedicaidNY

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

LicenseStateTypeSpecialty
030492NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Horn Dba Dan Horn Pharmacy and Health Services CurrentSince Sep 5, 2021 Accepting new patients
J Horn LLC PastSince Nov 28, 2021 Accepting new patients

Locations

111 E Green St
Olean, NY 14760
Phone (716) 376-6337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1184956229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E GREEN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603641",
            "telephone_number": "716-376-6337",
            "fax_number": "716-372-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E GREEN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603641",
            "telephone_number": "716-376-6337",
            "fax_number": "716-372-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-30",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01904916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.