Danielle Nicole Immel, PHARMD
Individual provider Active NPI Pharmacist · Orrville, OH
NPI 1679146757 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1679146757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03439754 (OH)
- Practice address
- 832 S Main St
Orrville, OH 44667-2208 - Phone
- (330) 684-4781
- Fax
- (330) 684-4766
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|
| 03439754 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439754 | OH | Yes |
Addresses
Primary practice location
832 S Main St
Orrville, OH 44667-2208
Mailing address
328 S Water St
Uhrichsville, OH 44683-1967
Phone (330) 432-0640
Other names
- Danielle Nicole Shively
Other providers in Orrville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. 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.