Individual provider Active NPI

Daniel Stephen Drewniak, PHARM.D.

  • Pharmacist
  • Tracy, CA
National Provider Identifier
1396077426
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64947 Issued in CA
Practice address
2800 Naglee Rd
Target Pharmacy
Tracy, CA 95304-7307
Phone
(209) 833-0072
Fax
(209) 833-0072
NPI assigned
Jan 29, 2010
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH232736 MA
Pharmacist 183500000X 64947 CA Primary

Addresses

Primary practice location

2800 Naglee Rd
Target Pharmacy
Tracy, CA 95304-7307

Mailing address

2800 Naglee Road
Target Pharmacy
Tracy, CA 94597
Phone (209) 833-0072

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

LicenseStateTypeSpecialty
PH232736MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1396077426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NAGLEE ROAD",
            "address_2": "TARGET PHARMACY",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "94597",
            "telephone_number": "209-833-0072",
            "fax_number": "209-833-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NAGLEE RD",
            "address_2": "TARGET PHARMACY",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047307",
            "telephone_number": "209-833-0072",
            "fax_number": "209-833-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWNIAK",
        "first_name": "DANIEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH232736",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.