Individual provider Active NPI

Daniel Nathan Bond, PHARMD

  • Pharmacist
  • Vienna, WV
National Provider Identifier
1609946516
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006573 Issued in WV
Practice address
800 Grand Central Mall Ste 5
Vienna, WV 26105-4100
Phone
(304) 295-7356
Fax
(304) 865-0231
NPI assigned
Nov 8, 2006
Last updated
Dec 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-25984 OH
Pharmacist 183500000X RP0006573 WV Primary

Addresses

Primary practice location

800 Grand Central Mall Ste 5
Vienna, WV 26105-4100

Mailing address

1202 16TH St
Vienna, WV 26105-1046
Phone (304) 295-7356

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

LicenseStateTypeSpecialty
RP0006573WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
D & B Development Group LLC CurrentSince Dec 16, 2020 Accepting new patients
Fruth Pharmacy of Ohio Inc Past Accepting new patients
SPG Vienna PastSince Dec 16, 2020 Accepting new patients
Fruth Pharmacy of Ohio Inc Past Accepting new patients

Locations

800 Grand Central Mall
Ste 5
Vienna, WV 26105
Phone (304) 295-7356

Organizations & group practices 4

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1609946516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 16TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051046",
            "telephone_number": "304-295-7356",
            "fax_number": "304-863-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 5",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-295-7356",
            "fax_number": "304-865-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "DANIEL",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-25984",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.