Active NPI
Audre A Daniels, RPH
- Pharmacist
- Bolingbrook, IL
National Provider Identifier
1306610340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.295611
- Practice address
- 599 S Schmidt Rd Ste a
Bolingbrook, IL 60440-9405 - Phone
- (630) 296-2130
- NPI assigned
- Nov 9, 2023
- 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 | 051.295611 | IL | Primary |
Addresses
Primary practice location
599 S Schmidt Rd Ste a
Bolingbrook, IL 60440-9405
Mailing address
903 E Forest Ave
Wheaton, IL 60187-4345
Phone (630) 297-5063
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.295611 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1306610340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 E FOREST AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874345",
"telephone_number": "630-297-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 S SCHMIDT RD STE A",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604409405",
"telephone_number": "630-296-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "AUDRE",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
- D&D Home Health Incorporated (Careium Home Health)
- Daily Nutrition LLC (Pei Gen Health)
- Heidi Silke Daley, PT
- Kimberly Dang, PHARM.D.
- Daniel & Max, LLC
- Julie A Danker, MSW LCSW
- Danzell Wellness Group, PLLC
- Cindy Crystal Danzell, MS, LCPC, NCC, PEL
- Dark Star Transit Inc.
- Datta Sambare M D S C (Brookville Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.