Active NPI
Daniel Warren Bates, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Colorado Springs, CO
National Provider Identifier
1659522241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 17701
- Practice address
- 3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5101 - Phone
- (719) 776-3600
- NPI assigned
- Oct 1, 2008
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 17701 | CO | Primary |
Addresses
Primary practice location
3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5101
Mailing address
1573 4TH St
Colorado Springs, CO 80907-5769
Phone (719) 201-1930
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 |
|---|---|---|---|
| 17701 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1659522241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 4TH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075769",
"telephone_number": "719-201-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175101",
"telephone_number": "719-776-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "DANIEL",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "17701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.