- Practice location
- 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
- Phone
- 214-285-4096
- Fax
- —
- Last updated
- June 12, 2026
Shady Daniel is a Pharmacist based in Pomona, NJ. Shady Daniel practices in Pomona, NJ and has the professional credentials of RPH. The NPI Number for Shady Daniel is 1568115194 and holds a License No. 28RI04105800 (NJ). The current practice location address for Shady Daniel is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 214-285-4096.
Provider Profile Details
- NPI Number
- 1568115194
- Provider Name
- Shady Daniel
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
- Phone Number
- 214-285-4096
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2022
- Last Update Date
- June 12, 2026
- Certification Date
- June 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 W Jimmie Leeds RD
Pomona, NJ 08240-9102 - City
- Pomona
- State
- New Jersey
- Zip
- 08240-9102
- Phone Number
- 214-285-4096
Provider Business Mailing Address Details
- Address
- 65 W Jimmie Leeds RD
Pomona, NJ 08240-9102 - City
- Pomona
- State
- NJ
- Zip
- 08240-9102
License Information
- License Number (1)
- 28RI04105800
- License State (1)
- NJ
- Taxonomy (1)
- Pharmacist · 183500000X
- License Number (2)
- 71007
- License State (2)
- TX
- Taxonomy (2)
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Pomona, NJ
View all Pharmacists in Pomona →Frequently Asked Questions
What is the NPI number of Shady Daniel, RPH?
The NPI number of Shady Daniel, RPH is 1568115194. It was assigned on February 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Shady Daniel, RPH?
Shady Daniel, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04105800.
Where does Shady Daniel, RPH practice?
The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 214-285-4096 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568115194 directly on the NPPES registry website.