Active NPI
Robert Daniel IV, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1518249267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014487
- Practice address
- 13807 English Villa Dr
Louisville, KY 40245-3994 - Phone
- (502) 254-2535
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- 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 | 014487 | KY | Primary |
Addresses
Primary practice location
13807 English Villa Dr
Louisville, KY 40245-3994
Mailing address
1702 Belay Way
Louisville, KY 40245-5464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014487 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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, 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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1518249267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 BELAY WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13807 ENGLISH VILLA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402453994",
"telephone_number": "502-254-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Daniel E Whitney DPM PSC (Kentucky Foot and Ankle)
- Daniel L Weinberg OD PSC (Advanced Vision of Louisville)
- Ariel Daniel, HIS
- Judith Evans Daniel, M. ED., LMFT
- Lisa Daniel, MD
- Sarah Kaitlin Daniel, A.P.R.N.
- Hana Soueidan Danieli, MD
- Emily H Daniels, LPAT
- James Percy Daniels, MD
- Maria Francoise Daniels
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.