Danielle Renee Deters, PHARMD
Individual provider Active NPI Pharmacist · Olney, IL
NPI 1689274136 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1689274136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.298306 (IL)
- Practice address
- 1001 N West St
Olney, IL 62450-3774 - Phone
- (618) 392-3464
- Fax
- (618) 392-3260
- NPI assigned
- Oct 26, 2020
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298306 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.298306 | IL | Yes |
Addresses
Primary practice location
1001 N West St
Olney, IL 62450-3774
Mailing address
1001 N West St
Olney, IL 62450-3774
Phone (618) 392-3464
Other names
- Dr. Danielle Renee Deters
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. 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.