Active NPI
Danyelle Denard-Johnson
- Pharmacy Technician
- Kalamazoo, MI
National Provider Identifier
1700470481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303019050
- Practice address
- 5815 Gull Rd
Kalamazoo, MI 49048-1094 - Phone
- (269) 226-9433
- NPI assigned
- Feb 23, 2021
- Last updated
- Feb 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303019050 | MI | Primary |
Addresses
Primary practice location
5815 Gull Rd
Kalamazoo, MI 49048-1094
Mailing address
1913 Elkerton Ave Apt 201
Kalamazoo, MI 49048-1532
Phone (269) 808-2531
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 |
|---|---|---|---|
| 5303019050 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5815 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-9433
Organizations & group practices 2
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": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1700470481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 ELKERTON AVE APT 201",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481532",
"telephone_number": "269-808-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481094",
"telephone_number": "269-226-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENARD-JOHNSON",
"first_name": "DANYELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303019050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.