Andrea Daniel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD14163 Issued in AR

Practice address

1400 E Main St
Booneville, AR 72927-6932

Phone

(479) 675-5341

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Booneville, AR
  • NPI 1780601179
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1235730649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729276932",
            "telephone_number": "479-675-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729276932",
            "telephone_number": "479-675-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ANDREA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara E. Childers, APRN FNP-C
• Anthony Vincent Ciaramitaro, APRN
• Anna Marie Clifford, OTR
• Cooper Clinic PA
• Deborah Kaye Joyce Crothers
• Andrew David Daniel, MD
• David V. Zarlingo D.D.S., P.a.
• John M (Monty) Davis, PHYSICAL THERAPIST
• Bridget Duke
• Eccles Medical, P.a. (Eccles Pediatric & Internal Medicine)

• Pharmacist in Booneville, AR
• Providers in Booneville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.