Active NPI
Danielle Lee Etling, RPH
- Pharmacist
- Connellsville, PA
National Provider Identifier
1497982730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044351L
- Practice address
- 802 Vanderbilt Rd
Connellsville, PA 15425-6241 - Phone
- (724) 626-1091
- NPI assigned
- Jun 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | RP044351L | PA | Primary |
| Pharmacist | 183500000X | RP0006550 | WV |
Addresses
Primary practice location
802 Vanderbilt Rd
Connellsville, PA 15425-6241
Mailing address
166 Zitney Rd
Vanderbilt, PA 15486
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 |
|---|---|---|---|
| RP044351L | PA | MD | Pharmacist |
| RP0006550 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claysville Pharmacy LLC | Past | Accepting new patients | |
| Claysville Pharmacy 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Connellsville, PA
- NPI 1164443982
-
- Long Term Care Pharmacy
- Connellsville, PA
- NPI 1669900932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1497982730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 ZITNEY RD",
"city": "VANDERBILT",
"state": "PA",
"postal_code": "15486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 VANDERBILT RD",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154256241",
"telephone_number": "724-626-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETLING",
"first_name": "DANIELLE",
"middle_name": "LEE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044351L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Connellsville, PA
- Elzabeth Edwards
- John E Ellis, O.D.
- Emergency Medicine Physicians of Fayette County LTD
- Emergency Solutions Highlands Inc
- Albert Kelly Enany II, MD
- Excela Health Connellsville Internal Med-Dr. Tiberio
- Excela Health Physician Practices
- Excela Health Physician Practices, Inc
- Fayette EMS
- Fayette Medical Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.