Active NPI
Susan P Danielson, RPH
- Pharmacist
- Whiting, IN
National Provider Identifier
1619253085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015453A
- Practice address
- 1939 Indianapolis Blvd
Whiting, IN 46394-1509 - Phone
- (219) 659-3541
- Fax
- (219) 473-9124
- NPI assigned
- Oct 28, 2011
- Last updated
- Oct 28, 2011
- Sex
- Female
- 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 | 26015453A | IN | Primary |
Addresses
Primary practice location
1939 Indianapolis Blvd
Whiting, IN 46394-1509
Mailing address
1939 Indianapolis Blvd
Whiting, IN 46394-1509
Phone (219) 659-3541
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015453A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1619253085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 INDIANAPOLIS BLVD",
"city": "WHITING",
"state": "IN",
"postal_code": "463941509",
"telephone_number": "219-659-3541",
"fax_number": "219-473-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 INDIANAPOLIS BLVD",
"city": "WHITING",
"state": "IN",
"postal_code": "463941509",
"telephone_number": "219-659-3541",
"fax_number": "219-473-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSON",
"first_name": "SUSAN",
"middle_name": "P",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015453A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiting, IN
- Chang W Rhim DDS Inc
- City of Whiting
- Lauren Jo Curosh, O.D.
- Thomas E Cutka
- Jeannine Marie Dabertin, OCCUPATION THERAPY
- Doctors on Call LLC
- Mary Kay Earlie, FNP
- Jane Lucille B. Edquila, OCCUPATION THERAPY
- Efren Gomez OD an Indiana Professional Corporation (Gomez and Hoffman Optometry)
- Foot and Ankle Pain Clinic Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.