Individual provider Active NPI

Daniel Bruce Salzwedel, PHARM.D., RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Duluth, GA
National Provider Identifier
1396170841
Registry record updated Aug 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
17009-40 Issued in WI
Practice address
3355 McDaniel Rd Apt 1304
Duluth, GA 30096-8618
Phone
(920) 319-1238
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 17009-40 WI Primary

Addresses

Primary practice location

3355 McDaniel Rd Apt 1304
Duluth, GA 30096-8618

Mailing address

3355 McDaniel Rd Apt 1304
Duluth, GA 30096-8618
Phone (920) 319-1238

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17009-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1396170841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MCDANIEL RD APT 1304",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968618",
            "telephone_number": "920-319-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MCDANIEL RD APT 1304",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968618",
            "telephone_number": "920-319-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZWEDEL",
        "first_name": "DANIEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "17009-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.