Active NPI
Steven Daly
- Pharmacist
- Allendale, MI
National Provider Identifier
1477159069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041948
- Practice address
- 6370 Lake Michigan Dr
Allendale, MI 49401-8068 - Phone
- (616) 895-7426
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302041948 | MI | Primary |
Addresses
Primary practice location
6370 Lake Michigan Dr
Allendale, MI 49401-8068
Mailing address
9253 Buchanan St
Allendale, MI 49401-7523
Phone (773) 719-2469
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 |
|---|---|---|---|
| 5302041948 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Fare, LLC | Past | Accepting new patients | |
| Family Fare LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1477159069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9253 BUCHANAN ST",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494017523",
"telephone_number": "773-719-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 LAKE MICHIGAN DR",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494018068",
"telephone_number": "616-895-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.