Danielle Kristine Demegillo
Individual provider Active NPI Pharmacist · Sinton, TX
NPI 1659937282 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1659937282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 58897 (TX)
- Practice address
- 200 S Rachal St
Sinton, TX 78387-2524 - Phone
- (361) 364-1416
- Fax
- (361) 364-5028
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 58897 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 58897 | TX | Yes |
Addresses
Primary practice location
200 S Rachal St
Sinton, TX 78387-2524
Mailing address
200 S Rachal St
Sinton, TX 78387-2524
Phone (361) 364-1416
Other providers in Sinton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. 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.