Active NPI
Daniel Duletski, PHARMD
- Pharmacist
- Dickinson, ND
National Provider Identifier
1619263357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5383
- Practice address
- 446 18TH St W
Suite 2
Dickinson, ND 58601-3022 - Phone
- (701) 225-4434
- Fax
- (701) 225-0013
- NPI assigned
- Jun 21, 2011
- Last updated
- Jun 21, 2011
- 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 | 5383 | ND | Primary |
Addresses
Primary practice location
446 18TH St W
Suite 2
Dickinson, ND 58601-3022
Mailing address
446 18TH St W
Suite 2
Dickinson, ND 58601-3022
Phone (701) 225-4434
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5383 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ND Pharmacy Inc | Past | Accepting new patients | |
| N D Pharmacy Inc | Past | Accepting new patients |
Interoperability endpoints
- daniel.duletski@ndpharmacy2.libertysoftwaredirect.com
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.
-
- Community/Retail Pharmacy
- Williston, ND
- NPI 1558376152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1619263357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 18TH ST W",
"address_2": "SUITE 2",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013022",
"telephone_number": "701-225-4434",
"fax_number": "701-225-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 18TH ST W",
"address_2": "SUITE 2",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013022",
"telephone_number": "701-225-4434",
"fax_number": "701-225-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULETSKI",
"first_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.