Active NPI
Daniela Margarethe Dandridge, PHARM.D.
- Pharmacist
- Chehalis, WA
National Provider Identifier
1366707036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 00016987
- Practice address
- 931 S Market Blvd
PMG SW Wa Chehalis Family Medicine
Chehalis, WA 98532-3423 - Phone
- (360) 767-6300
- Fax
- (360) 767-6320
- NPI assigned
- Jul 9, 2012
- 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 | PH 00016987 | WA | Primary |
Addresses
Primary practice location
931 S Market Blvd
PMG SW Wa Chehalis Family Medicine
Chehalis, WA 98532-3423
Mailing address
PO Box 3360
Portland, OR 97208-3360
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 |
|---|---|---|---|
| PH 00016987 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1366707036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 S MARKET BLVD",
"address_2": "PMG SW WA CHEHALIS FAMILY MEDICINE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985323423",
"telephone_number": "360-767-6300",
"fax_number": "360-767-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDRIDGE",
"first_name": "DANIELA",
"middle_name": "MARGARETHE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00016987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.