Active NPI
Danielle Lynn Dauenhauer, RPH, PHARMD
- Pharmacist
- Missoula, MT
National Provider Identifier
1255631511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3989
- Practice address
- 800 W Broadway St
Missoula, MT 59802-3944 - Phone
- (406) 721-6009
- Fax
- (406) 721-6021
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 3989 | MT | Primary |
Addresses
Primary practice location
800 W Broadway St
Missoula, MT 59802-3944
Mailing address
800 W Broadway St
Missoula, MT 59802-3944
Phone (406) 721-6009
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 |
|---|---|---|---|
| 3989 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Yokes Food Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1255631511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023944",
"telephone_number": "406-721-6009",
"fax_number": "406-721-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023944",
"telephone_number": "406-721-6009",
"fax_number": "406-721-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUENHAUER",
"first_name": "DANIELLE",
"middle_name": "LYNN",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.