Active NPI
Daniel M Fenwick, PHARMACIST
- Pharmacist
- Chandler, AZ
National Provider Identifier
1932806643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S010238
- Practice address
- 6825 W Galveston St Ste 3
Chandler, AZ 85226-2517 - Phone
- (480) 718-0774
- NPI assigned
- Feb 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S010238 | AZ | Primary |
Addresses
Primary practice location
6825 W Galveston St Ste 3
Chandler, AZ 85226-2517
Mailing address
5103 E Kelton LN
Scottsdale, AZ 85254-1059
Phone (602) 618-0155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S010238 | Other | AZ | AZ PHARMACIST LICENSE |
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 |
|---|---|---|---|
| S010238 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCPS Acquisition, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Prescott, AZ
- NPI 1841234689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1932806643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 E KELTON LN",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541059",
"telephone_number": "602-618-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 W GALVESTON ST STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262517",
"telephone_number": "480-718-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENWICK",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ PHARMACIST LICENSE",
"identifier": "S010238",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.