Daniel J Gracey, R.PH
Individual provider Active NPI Pharmacist · Monmouth, IL
NPI 1649500067 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1649500067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-289234 (IL)
- Practice address
- 1120 N 6TH St
Monmouth, IL 61462-9672 - Phone
- (309) 734-6979
- Fax
- (309) 734-6982
- NPI assigned
- Jan 7, 2010
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-289234 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC3 Pharmacy Partners Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-289234 | IL | Yes |
Addresses
Primary practice location
1120 N 6TH St
Monmouth, IL 61462-9672
Mailing address
1120 N 6TH St
Monmouth, IL 61462-9672
Phone (309) 734-6979
Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. 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.