Active NPI
Daniel Friedrich
- Pharmacist
- Saint Peters, MO
National Provider Identifier
1831588425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2014025398
- Practice address
- 909 Jungermann Rd
Saint Peters, MO 63376-3094 - Phone
- (636) 441-2534
- NPI assigned
- Jan 20, 2015
- Last updated
- Jan 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2014025398 | MO | Primary |
| Pharmacist | 183500000X | 051298285 | IL |
Addresses
Primary practice location
909 Jungermann Rd
Saint Peters, MO 63376-3094
Mailing address
559 Wyatt Dr
Saint Peters, MO 63376-7176
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 |
|---|---|---|---|
| 051298285 | IL | MD | Pharmacist |
| 2014025398 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1831588425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 WYATT DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763094",
"telephone_number": "636-441-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2014025398",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051298285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.