Individual provider Active NPI

Daniel Demock, PHARM. D.

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1245721844
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43685 Issued in TX
Practice address
4900 Alameda Ave
El Paso, TX 79905-2802
Phone
(915) 772-5331
NPI assigned
May 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43685 TX Primary

Addresses

Primary practice location

4900 Alameda Ave
El Paso, TX 79905-2802

Mailing address

5500 Doniphan Dr
Ste 201
El Paso, TX 79932-1441
Phone (915) 772-5331

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
43685TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Pharmacy, LLC CurrentSince Oct 24, 2021 Accepting new patients
Rio Grande Pharmacy, LLC Current Accepting new patients
Alameda Thrifty Pharmacy Inc Past Accepting new patients

Locations

5500 Doniphan Dr
Ste 201
El Paso, TX 79932
Phone (915) 260-8555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1245721844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DONIPHAN DR",
            "address_2": "STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321441",
            "telephone_number": "915-772-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052802",
            "telephone_number": "915-772-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOCK",
        "first_name": "DANIEL",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.