Active NPI
Daniel Thomas Price, RPH
- Pharmacist
- Ballwin, MO
National Provider Identifier
1366727950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041263
- Practice address
- 13992 Manchester Rd
Ballwin, MO 63011-4517 - Phone
- (636) 227-9228
- NPI assigned
- Oct 15, 2011
- Sex
- Male
- 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 | 041263 | MO | Primary |
Addresses
Primary practice location
13992 Manchester Rd
Ballwin, MO 63011-4517
Mailing address
13992 Manchester Rd
Ballwin, MO 63011-4517
Phone (636) 227-9228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041263 | Other | MO | MISSOURI BOARD OF PHARMACY PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041263 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1366727950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13992 MANCHESTER RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114517",
"telephone_number": "636-227-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13992 MANCHESTER RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114517",
"telephone_number": "636-227-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY PHARMACIST",
"identifier": "041263",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.