Individual provider Active NPI

Daniel J Deodati, RPH

  • Pharmacist
  • Wind Gap, PA
National Provider Identifier
1962725614
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP036470R Issued in PA
Practice address
803 Male Rd
Wind Gap, PA 18091-1500
Phone
(610) 863-7535
Fax
(610) 863-1016
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP036470R PA Primary
Pharmacist 183500000X 28R101800800 NJ

Addresses

Primary practice location

803 Male Rd
Wind Gap, PA 18091-1500

Mailing address

803 Male Rd
Wind Gap, PA 18091-1500
Phone (610) 863-7535

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
28R101800800NJMDPharmacist
RP036470RPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1962725614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MALE RD",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911500",
            "telephone_number": "610-863-7535",
            "fax_number": "610-863-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MALE RD",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911500",
            "telephone_number": "610-863-7535",
            "fax_number": "610-863-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEODATI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP036470R",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R101800800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wind Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.