NPIMap

Individual provider Active NPI

Paul J Danielraj, B.PHARM

  • Pharmacist
  • Salisbury, MD
National Provider Identifier
1407166358
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19936 Issued in MD
Practice address
1316 Mount Hermon Rd
Salisbury, MD 21804-5220
Phone
(410) 749-0205
NPI assigned
Oct 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19936 MD Primary

Addresses

Primary practice location

1316 Mount Hermon Rd
Salisbury, MD 21804-5220

Mailing address

1316 Mount Hermon Rd
Salisbury, MD 21804-5220
Phone (410) 749-0205

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1407166358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MOUNT HERMON RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045220",
            "telephone_number": "410-749-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MOUNT HERMON RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045220",
            "telephone_number": "410-749-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELRAJ",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.