Dakota McMurray, PHARMD
Individual provider Active NPI Pharmacist · Crownpoint, NM
NPI 1649670043 · NPPES record last updated Sep 4, 2014
Key facts
- NPI
- 1649670043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14122 (SC)
- Practice address
- Intersection of RT 9 and NM 371
Crownpoint, NM 87313 - Phone
- (505) 786-6344
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14122 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14122 | SC | Yes |
Addresses
Primary practice location
Intersection of RT 9 and NM 371
Crownpoint, NM 87313
Mailing address
PO Box 1768
Crownpoint, NM 87313-1768
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2014. 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.