Individual provider Active NPI

Daniel J Angus, RPH

  • Pharmacist
  • Lemont, IL
National Provider Identifier
1811281926
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-033250 Issued in IL
Practice address
13460 S Archer Ave
Lemont, IL 60439-4755
Phone
(630) 243-6518
Fax
(630) 243-6518
NPI assigned
Jun 6, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-033250 IL Primary

Addresses

Primary practice location

13460 S Archer Ave
Lemont, IL 60439-4755

Mailing address

13460 S Archer Ave
Lemont, IL 60439-4755
Phone (630) 243-6518

Other identifiers 1

IdentifierTypeStateIssuer
051-033250OtherILSTATE LICENSE NUMBER

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051-033250ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1811281926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 S ARCHER AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394755",
            "telephone_number": "630-243-6518",
            "fax_number": "630-243-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 S ARCHER AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394755",
            "telephone_number": "630-243-6518",
            "fax_number": "630-243-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUS",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-033250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "051-033250",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.