Active NPI
Shannon Daly
- Pharmacist
- Grand Blanc, MI
National Provider Identifier
1457952954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032090
- Practice address
- 6160 S Saginaw Rd
Grand Blanc, MI 48439-7026 - Phone
- (810) 603-9702
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032090 | MI | Primary |
Addresses
Primary practice location
6160 S Saginaw Rd
Grand Blanc, MI 48439-7026
Mailing address
9202 Meadowland Dr
Grand Blanc, MI 48439-8390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unknown |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032090 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1457952954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 MEADOWLAND DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 S SAGINAW RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397026",
"telephone_number": "810-603-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "unknown",
"affiliation": "N",
"address_1": "6160 S Saginaw Rd",
"city": "Grand Blanc",
"state": "MI",
"country_code": "US",
"postal_code": "484397026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.