Active NPI
Arthur Lee Daniel Jr.
Doing business as West Valley Pharmacy
- Community/Retail Pharmacy
- Canutillo, TX
National Provider Identifier
1508957549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 06822
- Legal business name
- ARTHUR LEE DANIEL JR.
- Doing business as
- West Valley Pharmacy
- Practice address
- 6898 Doniphan
Canutillo, TX 79835 - Phone
- (915) 877-3124
- Fax
- (915) 877-1575
- NPI assigned
- Sep 27, 2006
- Last updated
- Jun 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Daniel, RPH
- Title
- Owner
- Phone
- (915) 877-2124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 06822 | TX | Primary |
Addresses
Primary practice location
6898 Doniphan
Canutillo, TX 79835
Mailing address
6898 Doniphan
PO Box 1410
Canutillo, TX 79835
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142310 | Medicaid | TX | |
| 4564818 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 63321 | Medicaid | NM |
Other names 1
- WEST VALLEY PHARMACY
National Provider Directory
National Provider DirectoryLocations
6898 Doniphan Dr
Canutillo, TX 79835
Phone (915) 877-3124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1508957549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6898 DONIPHAN",
"address_2": "PO BOX 1410",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "79835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6898 DONIPHAN",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "79835",
"telephone_number": "915-877-3124",
"fax_number": "915-877-1575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTHUR LEE DANIEL JR.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-877-2124",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "06822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142310",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4564818",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63321",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST VALLEY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Canutillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.