TERRY R DANIELS (NPI# 1023148632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023148632 |
| Entity Type | Organization |
| Organization Name | TERRY R DANIELS |
| Other Organization Name | WARREN PHARMACY |
| Practice Address |
222 N Wayne St Warren IN 46792-0345 |
| Mailing Address |
Po Box 345 Warren IN 46792-0345 |
| Practice Telephone | 2603752135 |
| Mailing Telephone | 2603752135 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-01-05 |
| Authorized Official Name | DR. TERRY R DANIELS (OWNER PHARMACIST SECRETARY JANITOR) |
| Authorized Official Telephone | 2603752135 |
| Authorized Official Credential | PD MDIV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 60004799A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200022820A | 05 | |
| IN | 200022820 | 05 |
| Other Name | Type Code |
|---|---|
| Warren Pharmacy | Doing Business As Name - Organization |
| Street Address |
222 N WAYNE ST |
| City | WARREN |
| State | IN |
| Zip Code | 46792-0345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043413016 | Charis M Daniels | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245433325 | Marsha J Crickard | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245441633 | Millie Ann Ellis | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1275744666 | Cheryl A Campbell | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1942411335 | Patricia Lynn Breckenridge | Pharmacy Technician | 222 N Wayne St, Warren, IN 46792 | 2007-05-25 |
| 1629100375 | Terry R Daniels | Pharmacist | 222 N Wayne St, Warren, IN 46792-0345 | 2007-03-09 |
| 1841320306 | Melinda A Daniels | Registered Nurse | 222 N Wayne St, Warren, IN 46792-0345 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1952614224 | Michelle Lynn Layman | Speech-Language Pathologist | 123 N Wayne St, Warren, IN 46792 | 2010-07-15 |
| 1609082775 | Vernon Winfield Byer | Pharmacist | Warren Pharmacy, 222 North Wayne St, Warren, IN 46792 | 2007-05-15 |
| 1811911969 | Robert H Berghoff | Dentist | 470 Bennett Drive, Suite C, Warren, IN 46792 | 2006-07-26 |
| 1639320104 | Angela Lamar | Physical Therapy Assistant | 716 E Jefferson St, Warren, IN 46792-0152 | 2008-10-02 |
| 1235219296 | Kevin James Deakyne | Dentist | 470 Bennett Dr., Suite A, Warren, IN 46792-0307 | 2006-10-16 |
| 1063559144 | Donald H. Ping | Chiropractor | 317 N. Wayne St., Warren, IN 46792-0495 | 2007-01-30 |
| 1528321387 | Aurelia R Simmons | Physical Therapist | 804 N Huntington Ave, Warren, IN 46792-3436 | 2012-06-18 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1518316173 | Abigail Jayne Colclasure | Dentist | 470 Bennett Dr Ste C, Warren, IN 46792-9273 | 2016-06-05 |
| Find all providers in zip 46792 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1972163749 | Ryan Rx LLC | Pharmacy | 29230 Ryan Rd Ste B, Warren, MI 48092-4274 | 2019-06-14 |
| 1821573130 | Matrix Pharmacy,llc | Pharmacy | 5827 E 13 Mile Rd, Warren, MI 48092-1512 | 2018-10-02 |
| 1104315597 | Yourx Pharmacy LLC | Pharmacy | 29134 Ryan Rd, Warren, MI 48092-4241 | 2018-05-01 |
| 1245733609 | Abe's Drug Store LLC | Pharmacy | 13770 E 12 Mile Rd, Warren, MI 48088-3751 | 2018-03-13 |
| 1194244780 | New Deshi Pharmacy LLC | Pharmacy | 28685 Ryan Rd, Warren, MI 48092-4124 | 2017-09-14 |
| 1013453950 | Abe S Pharmacy LLC | Pharmacy | 13760 E 12 Mile Rd Ste B, Warren, MI 48088-3751 | 2017-01-17 |
| 1609233162 | Lansing Specialty Pharmacy LLC | Pharmacy | 11890 E 10 Mile Rd, Warren, MI 48089-3901 | 2016-01-28 |
| 1275906554 | Champion Discount Pharmacy, LLC | Pharmacy | 4299 Mahoning Ave Nw, Warren, OH 44483-1928 | 2015-11-09 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.