Active NPI
Daniel Quillen
- Pharmacist
- Sleepy Hollow, NY
National Provider Identifier
1679927867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060324-1
- Practice address
- 777 N Broadway Ste 101
Phelps Community Pharmacy
Sleepy Hollow, NY 10591-1019 - Phone
- (914) 366-1400
- NPI assigned
- Apr 14, 2016
- 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 | 060324-1 | NY | Primary |
Addresses
Primary practice location
777 N Broadway Ste 101
Phelps Community Pharmacy
Sleepy Hollow, NY 10591-1019
Mailing address
27 Hewitt Rd
Hewitt, NJ 07421-1105
Phone (267) 294-5749
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060324-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps Memorial Hospital Association | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Sleepy Hollow, NY
- NPI 1285706077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1679927867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 HEWITT RD",
"city": "HEWITT",
"state": "NJ",
"postal_code": "074211105",
"telephone_number": "267-294-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N BROADWAY STE 101",
"address_2": "PHELPS COMMUNITY PHARMACY",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911019",
"telephone_number": "914-366-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLEN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060324-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.