Active NPI
Daniel Lee Fahrner
- Pharmacist
- Crest Hill, IL
National Provider Identifier
1225311228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051034795
- Practice address
- 2379 Plainfield Rd
Crest Hill, IL 60403-1848 - Phone
- (815) 730-8663
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051034795 | IL | Primary |
Addresses
Primary practice location
2379 Plainfield Rd
Crest Hill, IL 60403-1848
Mailing address
218 Meadow Wood Dr
Joliet, IL 60431-4810
Phone (815) 725-7701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051034795 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1225311228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 MEADOW WOOD DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604314810",
"telephone_number": "815-725-7701",
"fax_number": "815-730-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 PLAINFIELD RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604031848",
"telephone_number": "815-730-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRNER",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051034795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crest Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.