Active NPI
Daylen Harrison
- Pharmacist
- Coldwater, MI
National Provider Identifier
1558002048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414056
- Practice address
- 61 W Pearl St
Coldwater, MI 49036-1933 - Phone
- (517) 278-6186
- NPI assigned
- Apr 6, 2022
- Last updated
- Jul 5, 2022
- 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 | 5302414056 | MI | Primary |
Addresses
Primary practice location
61 W Pearl St
Coldwater, MI 49036-1933
Mailing address
45977 Tallgrass CT
Van Buren TWP, MI 48111-6422
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414056 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | 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": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1558002048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45977 TALLGRASS CT",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481116422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 W PEARL ST",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490361933",
"telephone_number": "517-278-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DAYLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-06",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414056",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "61 W Pearl St",
"city": "Coldwater",
"state": "MI",
"country_code": "US",
"postal_code": "490361933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.