Daniel Alan Draege, RPH
Individual provider Active NPI Pharmacist · Richview, IL
NPI 1356931463 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1356931463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051037010 (IL)
- Practice address
- 500 E Propeller Rd
Richview, IL 62877-2105 - Phone
- (618) 316-3504
- NPI assigned
- Jan 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051037010 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051037010 | IL | Yes |
Addresses
Primary practice location
500 E Propeller Rd
Richview, IL 62877-2105
Mailing address
500 E Propeller Rd
Richview, IL 62877-2105
Phone (618) 316-3504
Other providers in Richview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.