Individual provider Active NPI

Frank Wilson Daniel

  • Pharmacist
  • Fullerton, CA
National Provider Identifier
1972841674
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH27731 Issued in CA
Practice address
1421 Manhattan Ave
Fullerton, CA 92831-5221
Phone
(714) 300-6262
NPI assigned
Jan 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH27731 CA Primary

Addresses

Primary practice location

1421 Manhattan Ave
Fullerton, CA 92831-5221

Mailing address

1421 Manhattan Ave
Fullerton, CA 92831-5221

Other identifiers 1

IdentifierTypeStateIssuer
RPH27731OtherCAPROVIDER OF PHARMACY SERVICES TO MEDICARE, MEDICAID, PRIVATE INSURERS

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

LicenseStateTypeSpecialty
RPH27731CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1972841674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MANHATTAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MANHATTAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315221",
            "telephone_number": "714-300-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "FRANK",
        "middle_name": "WILSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH27731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER OF PHARMACY SERVICES TO MEDICARE, MEDICAID, PRIVATE INSURERS",
            "identifier": "RPH27731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.