Daniel David Dan, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

68116 Issued in TX

Practice address

1300 N 6TH St Ste B
Longview, TX 75601-5567

Phone

(903) 686-9256

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Longview, TX
  • NPI 1386278265
  NPD
• Larenda Inc

  dba Prescription Pharmacy

  • Pharmacy
  • Rusk, TX
  • NPI 1447320734
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1356085062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7276 CARTHAGE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036052",
            "telephone_number": "657-464-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 6TH ST STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015567",
            "telephone_number": "903-686-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAN",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "68116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Berlin Dafney, DDS
• Padma Daggula
• Ranjan Dahal, MD
• Charles Glenn Dailey Jr., LCSW
• Douglas James Daly Jr., D.C.
• Daniel & Max, LLC (Stanton Optical)
• Helen C Daniel-Glave, MD
• Casey Daniel, NP
• Shamiya Q. Daniel
• Shequita L Daniels, LPC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longview, TX
• Providers in Longview, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.