NPIMap

Individual provider Active NPI

Daniel Breisch, PHARMD

  • Pharmacist
  • Sandy, UT
National Provider Identifier
1265976500
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7882358-1701 Issued in UT
Practice address
9829 S 1300 E
Suuite 100
Sandy, UT 84094-4000
Phone
(801) 571-0201
Fax
(801) 571-6050
NPI assigned
Dec 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7882358-1701 UT Primary

Addresses

Primary practice location

9829 S 1300 E
Suuite 100
Sandy, UT 84094-4000

Mailing address

9829 S 1300 E
Suuite 100
Sandy, UT 84094-4000
Phone (801) 571-0201

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
7882358-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
T & R Pharmaceutical LLC Past Accepting new patients

Organizations & group practices 1

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1265976500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E",
            "address_2": "SUUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944000",
            "telephone_number": "801-571-0201",
            "fax_number": "801-571-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E",
            "address_2": "SUUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944000",
            "telephone_number": "801-571-0201",
            "fax_number": "801-571-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREISCH",
        "first_name": "DANIEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7882358-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.