Active NPI
Danielle Caye Mittleider, PHARMD
- Pharmacist
- Aberdeen, WA
National Provider Identifier
1336751387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00017601
- Practice address
- 954 Anderson Dr Ste 102
Aberdeen, WA 98520-1001 - Phone
- (360) 493-7526
- Fax
- (360) 532-0741
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00017601 | WA | Primary |
Addresses
Primary practice location
954 Anderson Dr Ste 102
Aberdeen, WA 98520-1001
Mailing address
156 Clemons Rd
Montesano, WA 98563-9634
Phone (360) 580-9792
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00017601 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1336751387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CLEMONS RD",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985639634",
"telephone_number": "360-580-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 ANDERSON DR STE 102",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201001",
"telephone_number": "360-493-7526",
"fax_number": "360-532-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTLEIDER",
"first_name": "DANIELLE",
"middle_name": "CAYE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.