Individual provider Active NPI

Amber Lorraine Ferguson, R.PH

  • Pharmacist
  • New Hartford, NY
National Provider Identifier
1013191030
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049206 Issued in NY
Practice address
4765 Commercial Dr
New Hartford, NY 13413-6211
Phone
(315) 736-6822
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP440247 PA
Pharmacist 183500000X 28RI03075600 NJ
Pharmacist 183500000X 049206 NY Primary

Addresses

Primary practice location

4765 Commercial Dr
New Hartford, NY 13413-6211

Mailing address

4765 Commercial Dr
New Hartford, NY 13413-6211
Phone (315) 736-6822

Other identifiers 3

IdentifierTypeStateIssuer
28RI03075600OtherNJNJ PHARMACY LICENSE
049206OtherNYNY STATE PHARMACY LICENSE
RP440247OtherPAPA PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
049206NYMDGeneral Practice Dentistry
28RI03075600NJMDPharmacist
RP440247PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1013191030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136211",
            "telephone_number": "315-736-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136211",
            "telephone_number": "315-736-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "AMBER",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440247",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03075600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PHARMACY LICENSE",
            "identifier": "28RI03075600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PHARMACY LICENSE",
            "identifier": "049206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PHARMACY LICENSE",
            "identifier": "RP440247",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.