Daniel Bradford Harkins, RPH
Individual provider Active NPI Pharmacist · Marmet, WV
NPI 1366744864 · NPPES record last updated Dec 23, 2010
Key facts
- NPI
- 1366744864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00003905 (WV)
- Practice address
- 10635 Maccorkle Ave
Kroger Pharmacy 754
Marmet, WV 25315 - Phone
- (304) 949-3045
- NPI assigned
- Dec 3, 2010
- 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 |
|---|---|---|---|
| RP00003905 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00003905 | WV | Yes |
Addresses
Primary practice location
10635 Maccorkle Ave
Kroger Pharmacy 754
Marmet, WV 25315
Mailing address
1597 Jackson St
Charleston, WV 25311-2034
Phone (304) 400-4044
Other providers in Marmet, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2010. 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.