Daniel Johnson, RPH
Individual provider Active NPI Pharmacist · Pawcatuck, CT
NPI 1679009088 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1679009088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT 0007741 (CT)
- Practice address
- 37 S Broad St
Pawcatuck, CT 06379-7909 - Phone
- (860) 599-4030
- Fax
- (860) 599-3640
- NPI assigned
- May 4, 2017
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT 0007741 | CT | MD | Pharmacist |
| PCT.0007741 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0007741 | CT | |
| Pharmacist | 183500000X | PCT 0007741 | CT | Yes |
Addresses
Primary practice location
37 S Broad St
Pawcatuck, CT 06379-7909
Mailing address
37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 599-4030
Other providers in Pawcatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. 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.