Individual provider Active NPI

Jennifer Joyce Daggett, PHARMD

  • Pharmacist
  • Aberdeen, SD
National Provider Identifier
1588752463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5148 Issued in SD
Practice address
815 1St Ave SE
#202
Aberdeen, SD 57401-4602
Phone
(605) 725-4001
Fax
(605) 725-2349
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5148 SD Primary

Addresses

Primary practice location

815 1St Ave SE
#202
Aberdeen, SD 57401-4602

Mailing address

12934 Prairiewood Dr
Aberdeen, SD 57401-8104
Phone (605) 225-3964

Other identifiers 1

IdentifierTypeStateIssuer
5148OtherSDSTATE LICENSE NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588752463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12934 PRAIRIEWOOD DR",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574018104",
            "telephone_number": "605-225-3964",
            "fax_number": "605-725-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST AVE SE",
            "address_2": "#202",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014602",
            "telephone_number": "605-725-4001",
            "fax_number": "605-725-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "JENNIFER",
        "middle_name": "JOYCE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5148",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.