DANIELSON PHARMACY INC NPI 1063624922

NPI Information

NPI: 1063624922
Provider Name: DANIELSON PHARMACY INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
:
Address: 77 WESTCOTT RD
DANIELSON, CT
ZIP 06239
Phone: (860) 774-9362

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NPI Details

DANIELSON PHARMACY INC is a prosthetic orthotic supplier in Danielson, CT. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. DANIELSON PHARMACY INC NPI is 1063624922. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

77 WESTCOTT RD
DANIELSON, CT
ZIP 06239-929
Phone: (860) 774-9362
Fax: (860) 779-2647

The provider's authorized official is Robert F Nethercote .
The authorized official title is Owner President and has the following contact phone number (860) 774-9362.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		159	CONNECTICUT	No
2	335E00000X	Prosthetic/Orthotic Supplier		159	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12DME0671CT01	OTHER	CONNECTICUT	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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