Provider Demographics
NPI:1740809060
Name:MONTOYA, DANIELLE R (BS, PHARMD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:RENE
Other - Last Name:MONTOYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, PHARMD
Mailing Address - Street 1:2255 S ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2522
Mailing Address - Country:US
Mailing Address - Phone:303-761-1977
Mailing Address - Fax:303-467-5350
Practice Address - Street 1:2255 S ONEIDA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2522
Practice Address - Country:US
Practice Address - Phone:303-761-1977
Practice Address - Fax:303-467-5350
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023385174H00000X, 1835P2201X, 183500000X
CO0002007135390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No174H00000XOther Service ProvidersHealth Educator
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program