Active NPI
Danielle Nicole Wunder, PHARMD
- Pharmacist
- West Lawn, PA
National Provider Identifier
1649749243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP450745
- Practice address
- 2104 Van Reed Rd
West Lawn, PA 19609-1163 - Phone
- (610) 670-5426
- NPI assigned
- Nov 13, 2018
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | RP450745 | PA | Primary |
Addresses
Primary practice location
2104 Van Reed Rd
West Lawn, PA 19609-1163
Mailing address
2104 Van Reed Rd
West Lawn, PA 19609-1163
Phone (610) 670-5426
Other names 1
- Danielle Nicole Koch
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 |
|---|---|---|---|
| RP450745 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Giant Pharmacy #6289
- Community/Retail Pharmacy
- West Lawn, PA
- NPI 1407888423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1649749243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 VAN REED RD",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091163",
"telephone_number": "610-670-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 VAN REED RD",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091163",
"telephone_number": "610-670-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNDER",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-13",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP450745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "KOCH",
"middle_name": "NICOLE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.