OrganizationActive
Danielson Pharmacy Inc
NPI 1063624922 · Prosthetic/Orthotic Supplier · Danielson, CT
Provider details
- NPI number
- 1063624922
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Robert Nethercote, Owner President(860) 774-9362
- License
- 159 (CT)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77 Westcott Rd
Danielson, CT 06239-2929
Phone: (860) 774-9362
Fax: (860) 779-2647
Street-level locationGet directions
Mailing address
77 Westcott Rd
Danielson, CT 06239-2929
Other names (DBA / former)
- Doing business as
- Bonneville Pharmacy and Home Care
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.