Danielle Molenaar
Individual provider Active NPI Pharmacist · Rensselaer, IN
NPI 1972058766 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1972058766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26026749A (IN)
- Practice address
- 550 S College Ave
Rensselaer, IN 47978-3007 - Phone
- (219) 866-4156
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26026749A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Hook-Superx LLC | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026749A | IN | Yes |
Addresses
Primary practice location
550 S College Ave
Rensselaer, IN 47978-3007
Mailing address
107 N Cullen St
Rensselaer, IN 47978-2643
Other providers in Rensselaer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.