Individual provider Active NPI

Catherine Halleran, BS

  • Pharmacist
  • Bay Shore, NY
National Provider Identifier
1033387667
Registry record updated Feb 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038645 Issued in NY
Practice address
1401 5TH Ave
Bay Shore, NY 11706-4129
Phone
(631) 665-8249
Fax
(631) 665-8884
NPI assigned
Feb 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038645 NY Primary

Addresses

Primary practice location

1401 5TH Ave
Bay Shore, NY 11706-4129

Mailing address

1401 5TH Ave
Bay Shore, NY 11706-4129
Phone (631) 665-8249

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
038645NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203206400000",
    "number": "1033387667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064129",
            "telephone_number": "631-665-8249",
            "fax_number": "631-665-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064129",
            "telephone_number": "631-665-8249",
            "fax_number": "631-665-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLERAN",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2008-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; 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.