Individual provider Active NPI

Daniel Spadaro, PHARM.D.

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1487930285
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06669 Issued in AR
Practice address
5917 Baseline Rd
Little Rock, AR 72209-5046
Phone
(501) 565-7844
Fax
(501) 565-0463
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06669 AR Primary

Addresses

Primary practice location

5917 Baseline Rd
Little Rock, AR 72209-5046

Mailing address

5917 Baseline Rd
Little Rock, AR 72209-5046
Phone (501) 565-7844

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

State licenses

LicenseStateTypeSpecialty
06669ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients

Organizations & group practices 1

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1487930285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095046",
            "telephone_number": "501-565-7844",
            "fax_number": "501-565-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095046",
            "telephone_number": "501-565-7844",
            "fax_number": "501-565-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADARO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "06669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.