Active NPI
D Blake Daniel, RPH
- Pharmacist
- Griffin, GA
National Provider Identifier
1417268541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016831
- Practice address
- 622 S 8TH St
Griffin, GA 30224-4214 - Phone
- (770) 227-7045
- Fax
- (770) 227-8756
- NPI assigned
- Jun 23, 2010
- Last updated
- Nov 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016831 | GA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 016831 | GA |
Addresses
Primary practice location
622 S 8TH St
Griffin, GA 30224-4214
Mailing address
622 S 8TH St
Griffin, GA 30224-4214
Phone (770) 227-7045
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 |
|---|---|---|---|
| 016831 | GA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Discount Drugs Inc | Current | Accepting new patients | |
| Hospital Discount Drugs Inc | Current | Accepting new patients |
Locations
622 S 8th St
Griffin, GA 30224
Phone (770) 227-7045
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Griffin, GA
- NPI 1720880388
-
- Community/Retail Pharmacy
- Griffin, GA
- NPI 1295871051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1417268541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244214",
"telephone_number": "770-227-7045",
"fax_number": "770-227-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244214",
"telephone_number": "770-227-7045",
"fax_number": "770-227-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "D",
"middle_name": "BLAKE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016831",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "GA",
"license": "016831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.