Active NPI
Daniel William Engstrom, PHARM D
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1689952020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22009
- Practice address
- 3590 Sunset Ave
Rocky Mount, NC 27804-3408 - Phone
- (252) 443-5101
- NPI assigned
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 22009 | NC | Primary |
Addresses
Primary practice location
3590 Sunset Ave
Rocky Mount, NC 27804-3408
Mailing address
2812 Stantonsburg Rd Apt 1F
Greenville, NC 27834-7293
Phone (724) 301-8974
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22009 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1689952020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 STANTONSBURG RD APT 1F",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347293",
"telephone_number": "724-301-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043408",
"telephone_number": "252-443-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGSTROM",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
- Hesham F Elwan
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- Embracing Touch Home Care Agency
- Courage Osifo Emokpae, MD
- Englewood OB-GYN Associates PA
- Envision Partners
- Envision Rehabilitation Associates LLC
- Envision Rehabilitation Assoctiates, LLC
- Envolve Optical Inc
- Envolve Optometry Associates of North Carolina, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.