Individual provider Active NPI

Daniel Duletski, PHARMD

  • Pharmacist
  • Dickinson, ND
National Provider Identifier
1619263357
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5383 Issued in ND
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5383NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
ND Pharmacy Inc Past Accepting new patients
N D Pharmacy Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.