Active NPI
Daniel William Gallagher, RPH
- Pharmacist
- Middletown, CT
National Provider Identifier
1679741847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6704
- Practice address
- 820 Washington St
Middletown, CT 06457-2912 - Phone
- (860) 344-1551
- Fax
- (860) 344-1560
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 6704 | CT | Primary |
Addresses
Primary practice location
820 Washington St
Middletown, CT 06457-2912
Mailing address
66 Acorn Dr
Westbrook, CT 06498-1594
Phone (860) 399-2372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6704 | Other | CT | RPH LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6704 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Y Foods, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1679741847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 ACORN DR",
"city": "WESTBROOK",
"state": "CT",
"postal_code": "064981594",
"telephone_number": "860-399-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 WASHINGTON ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572912",
"telephone_number": "860-344-1551",
"fax_number": "860-344-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "6704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE NUMBER",
"identifier": "6704",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.