Danny Brandner

Individual provider Active NPI Pharmacist · New Smyrna Beach, FL

NPI 1992259055 · NPPES record last updated Aug 6, 2016

Key facts

NPI
1992259055
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
50414 (FL)
Practice address
1800 State Road 44
New Smyrna Beach, FL 32168-8341
Phone
(386) 428-1558
NPI assigned
Aug 6, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
50414FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50414 FL Yes
Pharmacist 183500000X 0020205 CO

Addresses

Primary practice location

1800 State Road 44
New Smyrna Beach, FL 32168-8341

Mailing address

1800 State Road 44
New Smyrna Beach, FL 32168-8341
Phone (386) 428-1558

Other providers in New Smyrna Beach, FL

All providers in New Smyrna Beach, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.