Mary Jane Daniels

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP442522 Issued in PA

Practice address

208 E Central Ave
Titusville, PA 16354-1845

Phone

(814) 827-7083

NPI assigned

Jul 26, 2019

Last updated

Jul 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 04616

  • Community/Retail Pharmacy
  • Titusville, PA
  • NPI 1306935069
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1861046062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541845",
            "telephone_number": "814-827-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541845",
            "telephone_number": "814-827-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MARY JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Therese Colt, D.O.
• Kim M Combs, CRNP
• Robert William Cooney, PT
• Lawrence A Cooperstein, MD
• Mario D'Alessandro Jr., D.O.
• Kirk S Decker, MPT
• Deerfield Behavioral Health of Warren (Deerfield Centers for Addictions Treatment)
• Brittany Marie Deeter
• Jodi Marie Diven
• Byron Lee Donovan, M.D.

• Pharmacist in Titusville, PA
• Providers in Titusville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.