Active NPI
Daniel Coffman, RPH
- Pharmacist
- Charlotte, NC
National Provider Identifier
1316378474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051039867
- Practice address
- 11430 N Tryon St
Charlotte, NC 28262-0405 - Phone
- (704) 510-5244
- Fax
- (704) 510-5255
- NPI assigned
- Nov 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051039867 | IL | Primary |
| Pharmacist | 183500000X | RPH019485 | GA |
Addresses
Primary practice location
11430 N Tryon St
Charlotte, NC 28262-0405
Mailing address
11430 N Tryon St
Charlotte, NC 28262-0405
Phone (704) 510-5244
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 |
|---|---|---|---|
| RPH019485 | GA | MD | Pharmacist |
| 051039867 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1316378474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11430 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282620405",
"telephone_number": "704-510-5244",
"fax_number": "704-510-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11430 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282620405",
"telephone_number": "704-510-5244",
"fax_number": "704-510-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "DANIEL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051039867",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH019485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.