Terry R Daniels, PD MDIV
Individual provider Active NPI Pharmacist · Warren, IN
NPI 1629100375 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629100375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26091932A (IN)
- Practice address
- 222 N Wayne St
Warren, IN 46792-0345 - Phone
- (260) 375-2135
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26091932A | IN | MD | Pharmacist |
| 031585-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terry R Daniels | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26091932A | IN | Yes |
| Pharmacist | 183500000X | 031585-1 | NY |
Addresses
Primary practice location
222 N Wayne St
Warren, IN 46792-0345
Mailing address
PO Box 345
Warren, IN 46792-0345
Phone (260) 375-2135
Other providers in Warren, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.