Active NPI
Elizabeth Danielle Simmons, PHARMD
- Pharmacist
- Manlius, NY
National Provider Identifier
1346756483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063772
- Practice address
- 8230 Cazenovia Rd
Manlius, NY 13104-8726 - Phone
- (315) 682-9153
- NPI assigned
- Dec 27, 2017
- 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 | 063772 | NY | Primary |
Addresses
Primary practice location
8230 Cazenovia Rd
Manlius, NY 13104-8726
Mailing address
8230 Cazenovia Rd
Manlius, NY 13104-8726
Phone (315) 682-9153
Other practice location 1
2231 Downer Street Rd
Baldwinsville, NY 13027-8711
Phone (315) 638-3601
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 |
|---|---|---|---|
| 063772 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1346756483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8230 CAZENOVIA RD",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048726",
"telephone_number": "315-682-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 CAZENOVIA RD",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048726",
"telephone_number": "315-682-9153"
}
],
"practiceLocations": [
{
"address_1": "2231 Downer Street Rd",
"address_purpose": "LOCATION",
"city": "Baldwinsville",
"state": "NY",
"postal_code": "130278711",
"country_code": "US",
"telephone_number": "315-638-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "ELIZABETH",
"middle_name": "DANIELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.