Daniel George Demumbrum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S006685 Issued in AZ

Practice address

4202 W Cactus Rd
Phoenix, AZ 85029-2924

Phone

(602) 439-9045

Fax

(602) 439-3219

NPI assigned

Oct 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1487697710
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1538495619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292924",
            "telephone_number": "602-439-9045",
            "fax_number": "602-439-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292924",
            "telephone_number": "602-439-9045",
            "fax_number": "602-439-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMUMBRUM",
        "first_name": "DANIEL",
        "middle_name": "GEORGE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S006685",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26012769A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Marie Demore, JD, LPC, NCC
• Paul Thomas Demos, JD, MBA, BS
• Brandie M Dempsay, RCP
• John Robert Dempsey, D.D.S. M.S.
• Marja Dempsey, AGACNP-BC, FNP
• Ismita Demuro, APRN
• Shanna Michelle Demus
• Stacy Dena
• Denali Youth Homes of Arizona LLC
• Willie Ruth Denard, LCSW

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.