Active NPI
Brandon Daul, PHARMD
- Pharmacist
- Eagan, MN
National Provider Identifier
1760080865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124732
- Practice address
- 1500 Central Park Commons Dr
Eagan, MN 55121-8702 - Phone
- (651) 405-3660
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 124732 | MN | Primary |
Addresses
Primary practice location
1500 Central Park Commons Dr
Eagan, MN 55121-8702
Mailing address
5995 Lincoln Dr Apt 342
Edina, MN 55436-6118
Phone (952) 288-5092
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 |
|---|---|---|---|
| 124732 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1760080865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 LINCOLN DR APT 342",
"city": "EDINA",
"state": "MN",
"postal_code": "554366118",
"telephone_number": "952-288-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CENTRAL PARK COMMONS DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551218702",
"telephone_number": "651-405-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUL",
"first_name": "BRANDON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.