Healthcare Provider Details

I. General information

NPI: 1740809060
Provider Name (Legal Business Name): DANIELLE R MONTOYA BS, PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE RENE MONTOYA BS, PHARM.D

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 S ONEIDA ST
DENVER CO
80224-2522
US

IV. Provider business mailing address

2255 S ONEIDA ST
DENVER CO
80224-2522
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-1977
  • Fax: 303-467-5350
Mailing address:
  • Phone: 303-761-1977
  • Fax: 303-467-5350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number0023385
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0023385
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0002007135
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0023385
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: