Daniella Rose Bray, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

068871 Issued in NY

Practice address

3000 Middle Country Rd
Nesconset, NY 11767-1072

Phone

(631) 366-0934

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Miller Place, NY
  • NPI 1285072108
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Sayville, NY
  • NPI 1306033204
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1760137236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202239",
            "telephone_number": "516-983-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MIDDLE COUNTRY RD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671072",
            "telephone_number": "631-366-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DANIELLA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IntercomPlus",
            "affiliation": "Y",
            "endpointDescription": "Pharmacy Database",
            "affiliationName": "Walgreen Co",
            "address_1": "102 N Main St",
            "city": "Sayville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117822508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Biase, RN
• Stephanie Biren, MS, LCAT
• Lisa Bloechle, M.A.,CCC-SLP
• Linda M Bocchichio, DC
• Michelle Cine Bordes
• Joan Patricia Brennan-Hughes
• Jennifer L Briante, HIS
• Lisa Buono, RPH
• Gregory P. Bustamante, OTR/L
• John Lawrence Caesar, D.D.S.

• All providers in Nesconset, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.