Individual provider Active NPI

Danielle Okerblom, PHARMD

  • Pharmacist
  • Arroyo Grande, CA
National Provider Identifier
1497129498
Registry record updated Nov 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73942 Issued in CA
Practice address
517 Carol PL
Arroyo Grande, CA 93420-3713
Phone
(805) 478-4994
NPI assigned
Nov 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73942 CA Primary

Addresses

Primary practice location

517 Carol PL
Arroyo Grande, CA 93420-3713

Mailing address

517 Carol PL
Arroyo Grande, CA 93420-3713
Phone (805) 478-4994

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
73942CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1497129498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CAROL PL",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203713",
            "telephone_number": "805-478-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CAROL PL",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203713",
            "telephone_number": "805-478-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERBLOM",
        "first_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.