Active NPI
Marci Lynn Daugherty, PHARMD, CGP
- Pharmacist
- Westfield, IN
National Provider Identifier
1952399651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021357A
- Practice address
- 16168 Howden Dr
Westfield, IN 46074-5522 - Phone
- (317) 450-0681
- Fax
- (317) 755-0673
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- 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 | 26021357A | IN | Primary |
| Pharmacist | 183500000X | 03120858 | OH |
Addresses
Primary practice location
16168 Howden Dr
Westfield, IN 46074-5522
Mailing address
16168 Howden Dr
Westfield, IN 46074-5522
Phone (317) 450-0681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20858 | Other | OH | PHARMACY LICENSE |
| 26021357A | Other | IN | PHARMACY 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021357A | IN | MD | Pharmacist |
| 03120858 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1952399651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16168 HOWDEN DR",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460745522",
"telephone_number": "317-450-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16168 HOWDEN DR",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460745522",
"telephone_number": "317-450-0681",
"fax_number": "317-755-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "MARCI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD, CGP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021357A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03120858",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "20858",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "26021357A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.