Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568115194 Individual Practitioner Male Practitioner

Shady Daniel , RPH

Pharmacist • Pomona, NJ

Professional Overview & Biography Verified Profile Summary

Shady Daniel, RPH is a registered healthcare professional specializing in Pharmacist in Pomona, NJ. Practice services are available at 65 W JIMMIE LEEDS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 W Jimmie Leeds Rd

Pomona, NJ 082409102

Telephone 2142854096
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pomona, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Pomona, NJ (8390 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 71007

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NJ 28RI04105800

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Courtney Reed

Nurse Anesthetist, Certified Registered

NPI 1003734534
Klisa Hargrove-Loper , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013189968

Certified Registered Nurse Anesthetist

Jillian Ullo

Nurse Practitioner - Family

NPI 1013448307
Ashleigh Bry

Nurse Anesthetist, Certified Registered

NPI 1013513845
Phillip Campanella

Nurse Practitioner - Adult Health

NPI 1013609890
Susan Schrenk , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033116926

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 12, 2026

Registered at 65 W JIMMIE LEEDS RD, POMONA, NJ 082409102 (Tel: 2142854096)

📍
Updated Business Mailing Address June 12, 2026

Registered at 65 W JIMMIE LEEDS RD, POMONA, NJ 082409102

📍
Updated Practice Location May 06, 2023

Registered at 1001 SPINKS RD STE 280, FLOWER MOUND, TX 750284215 (Tel: 2142854096)

📍
Updated Business Mailing Address May 06, 2023

Registered at 1001 SPINKS RD STE 280, FLOWER MOUND, TX 750284215 (Tel: 2142854096)

📍
Updated Business Mailing Address December 14, 2022

Registered at 180 PASSAIC AVE, FAIRFIELD, NJ 07004 (Tel: 9179092902)

NPI Profile Active February 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2022

Registered at 180 PASSAIC AVE, FAIRFIELD, NJ 070043516 (Tel: 9734611550)

📍
Updated Business Mailing Address February 02, 2022

Registered at 753 MILL ST APT 14, BELLEVILLE, NJ 071091360 (Tel: 9179092902)

👤
Provider Name / Credentials Updated February 02, 2022

Recorded as SHADY DANIEL, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2022

Pharmacist (License #28RI04105800 in NJ)

🟢
Initial NPI Registration & Enumeration February 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568115194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2022
Last Update: June 12, 2026
Sole Proprietor: No

Mailing Address

65 W Jimmie Leeds Rd

Pomona, NJ 082409102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.