Sandra N/a Daniell-Medina

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

10664 Issued in CT

Practice address

91 Northwest Dr
Plainville, CT 06062

Phone

(860) 479-2667

Fax

(860) 747-5580

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1205316668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ADRIAN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113501",
            "telephone_number": "917-757-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "860-479-2667",
            "fax_number": "860-747-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELL-MEDINA",
        "first_name": "SANDRA",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CT",
            "license": "10664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B. Czarkosky, MSW
• Alyssa D'Agostino, LMSW
• Karen M Daigle, MS, OTR/L
• Amy Dalena, M.S., CCC-SLP
• Rachel Dalton, LMSW
• Ciyauah Lashawn Daniels
• Danielle Daversa, LMSW
• Marlyn Davila, MSW
• Kami Davis
• Xaviera Davis

• Ambulatory Care Pharmacist in Plainville, CT
• Providers in Plainville, CT by specialty
• Ambulatory Care Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.