Active NPI
Daniel W Dagne
- Pharmacist
- Hallettsville, TX
National Provider Identifier
1710587399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51058
- Practice address
- 1506 N Texana St
Hallettsville, TX 77964-2036 - Phone
- (361) 798-4379
- NPI assigned
- Oct 31, 2020
- Last updated
- Oct 31, 2020
- 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 | 51058 | TX | Primary |
Addresses
Primary practice location
1506 N Texana St
Hallettsville, TX 77964-2036
Mailing address
24718 Malca Manor Dr
Katy, TX 77493-2563
Phone (832) 526-7403
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 |
|---|---|---|---|
| 51058 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-1067
- Community/Retail Pharmacy
- Hallettsville, TX
- NPI 1942227194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1710587399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24718 MALCA MANOR DR",
"city": "KATY",
"state": "TX",
"postal_code": "774932563",
"telephone_number": "832-526-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N TEXANA ST",
"city": "HALLETTSVILLE",
"state": "TX",
"postal_code": "779642036",
"telephone_number": "361-798-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGNE",
"first_name": "DANIEL",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-31",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallettsville, TX
- Citizens Medical Center County of Victoria (Stevens Nursing and Rehabilitation Center of Hallettsville)
- Steven Andrew Cole, PT
- Complete Hometown Physical Therapy, LLC
- Barbara Nell Conner, MD
- County of Lavaca (Lavaca County EMS)
- Melissa Jane Decker, PHARMD, RPH
- Ezzell Isd
- Clara Francis
- Allison Franklin, M.ED. CCC-SLP
- Christopher Freytag, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.