Individual provider Active NPI

Colton Richard Danyeur, PHARM.D.

  • Pharmacist
  • Ardmore, OK
National Provider Identifier
1215594957
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16971 Issued in OK
Practice address
1316 12TH Ave NW
Ardmore, OK 73401-1285
Phone
(580) 223-5828
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16971 OK Primary

Addresses

Primary practice location

1316 12TH Ave NW
Ardmore, OK 73401-1285

Mailing address

1316 12TH Ave NW
Ardmore, OK 73401-1285
Phone (580) 223-5828

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16971OKMDRheumatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1215594957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-223-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-223-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANYEUR",
        "first_name": "COLTON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "16971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.