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DANIELLE MANGRUM PHARMD
NPI 1477050714
Pharmacist - Ambulatory Care in Scott Afb, IL

Active since April 12, 2018
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-7374 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2022, Apr 12, 2018 (2 updates tracked since 2018).

About Danielle Mangrum Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE MANGRUM PHARMD (NPI 1477050714) is an individual ambulatory care provider in Scott Afb, Illinois, licensed in Illinois (051298004) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1477050714
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameDANIELLE MANGRUMCredential: PHARMD
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address310 W Losey StScott Afb, IL 62225-5250
Phone(618) 256-7374
Sole ProprietorNo
Enumeration DateApril 12, 2018
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1477050714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in IL · 051298004
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
310 W LOSEY ST, Scott Afb, IL 62225
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD ALAN SCHULTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7079
DAWN WILSON PT
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6267
MR. SEAN J MCNAMARA RPH.
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6150
DR. PATSY FRANCES KREMSREITER MD
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-9355
JOAN FOMBOH TELAZIE-SIMONS RN
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. SARAH KATHERINE TURBUSH DDS
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. CASEY TIMMERMAN DO
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669
CHRISTINE LEIGH KMIECIK
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danielle Mangrum's NPI number?

The NPI number for Danielle Mangrum is 1477050714. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Danielle Mangrum located?

Danielle Mangrum practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-7374.

What is Danielle Mangrum's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Danielle Mangrum was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.