Active NPI
Danniel Lee Cline, PHARM.D., R.PH.
- Pharmacist
- South Bend, IN
National Provider Identifier
1235283490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019644A
- Practice address
- 801 E Lasalle Ave
South Bend, IN 46617-2814 - Phone
- (574) 237-7461
- Fax
- (574) 236-5005
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 26019644A | IN | Primary |
Addresses
Primary practice location
801 E Lasalle Ave
South Bend, IN 46617-2814
Mailing address
834 Nutmeg CT
South Bend, IN 46614-6707
Phone (574) 299-7285
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019644A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235283490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 NUTMEG CT",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466146707",
"telephone_number": "574-299-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E LASALLE AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172814",
"telephone_number": "574-237-7461",
"fax_number": "574-236-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "DANNIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARM.D., R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019644A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Clubhouse of Saint Joseph County
- Elizabeth Cobb, MSW LCSW
- Cobblestone Therapy (Elizabeth Cobb)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.