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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Kalamazoo, MI
- NPI 1275548570
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.