MR. DANIEL LEE BRACKEN (NPI# 1083931802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083931802 |
Entity Type | Individual |
Full Name | MR. DANIEL LEE BRACKEN |
Credential | BSCPH |
Practice Address |
1140 Town Square Rd Pottstown PA 19465-1017 |
Mailing Address |
2 Ivy Ct Douglassville PA 19518-1133 |
Practice Telephone | 6103234080 |
Practice Fax Number | 6109706316 |
Mailing Telephone | 6108235248 |
Enumeration Date | 2010-05-03 |
Last Update Date | 2010-05-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RP031096L | PA | Pharmacy Service Providers |
Street Address |
1140 TOWN SQUARE RD |
City | POTTSTOWN |
State | PA |
Zip Code | 19465-1017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851573257 | Susan Elaine Nuskey | Pharmacist | 1140 Town Square Rd, Rite Aid #11166, Pottstown, PA 19465-1317 | 2007-11-28 |
1336408897 | Mary Alexandra Tirado | Pharmacist | 1140 Town Square Rd, Pottstown, PA 19465-1017 | 2012-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891337861 | Mary Ann Uebelhoer | Pharmacist | Giant Pharmacy #6471, 88 Glocker Way, Pottstown, PA 19465 | 2019-10-11 |
1538286844 | Ellen Marie Waverka | Occupational Therapist | 30 Old Schuylkill Road, Pottstown, PA 19465 | 2007-03-23 |
1487662094 | Bernard M Pach | Optometrist | 351 W Schuylkill Rd, Pearle Vision, Pottstown, PA 19465 | 2006-08-03 |
1548277577 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 351 W. Schuykill Road., Pottstown, PA 19465 | 2006-08-02 |
1033142963 | Springfield Eye Associates, PC | Optometrist | Routes 724 & 100, Lenscrafters In Coventry Mall-space H16, Pottstown, PA 19465 | 2006-07-07 |
1457395626 | Joshua B Williamson | Pediatrics | 730 South Hanover Street, Pottstown, PA 19465 | 2006-06-16 |
1720088404 | Dana Nicole Adelizzi | Physical Therapist | 10 Glocker Way, Pottstown, PA 19465 | 2005-07-26 |
1245757145 | Jessica Marie Treskolaski | Speech-Language Pathologist | 30 Old Schuylkill Road, Pottstown, PA 19465 | 2017-08-23 |
1346792967 | Christina Bernal | Physical Therapist | 3031 Chestnut Hill Rd, Pottstown, PA 19465 | 2016-10-31 |
1477979466 | Krista Marie Dankiw-ludwig | Obstetrics & Gynecology | 351 W Schuylkill Rd Ste G-15a, Pottstown, PA 19465 | 2014-03-14 |
Find all providers in zip 19465 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891337861 | Mary Ann Uebelhoer | Pharmacist | Giant Pharmacy #6471, 88 Glocker Way, Pottstown, PA 19465 | 2019-10-11 |
1528500923 | Rite Aid | Pharmacist | 62 W 3rd St, Pottstown, PA 19464-5212 | 2016-11-16 |
1962959312 | John Rafael Marasigan | Pharmacist | 353 King St, Apt 3, Pottstown, PA 19464-5697 | 2016-09-01 |
1598191421 | Allison Marie Stogdale | Pharmacist | 2200 E High St, Pottstown, PA 19464-3216 | 2013-09-24 |
1669757175 | Daniel L Fauth | Pharmacist | 14 W. Lightcap Road, Pottstown, PA 19464 | 2011-10-15 |
1063730463 | Scott Freed | Pharmacist | 340 E High St, Pottstown, PA 19464 | 2010-05-10 |
1851573257 | Susan Elaine Nuskey | Pharmacist | 1140 Town Square Rd, Rite Aid #11166, Pottstown, PA 19465-1317 | 2007-11-28 |
1467652685 | Etta I. Onyemaobim | Pharmacist | 1304 Juniper St, Pottstown, PA 19464-1950 | 2007-07-25 |
1528168952 | Mark David Bennett | Pharmacist | 206 North Charlotte Street, Pottstown, PA 19464 | 2006-09-25 |
1487753265 | Craig Sproul | Pharmacist | 206 N Charlotte St, Pottstown, PA 19464-5308 | 2006-09-21 |
Find all providers in POTTSTOWN |
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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.