Individual provider Active NPI

Mariah Ashlie Bigaud, PHARM.D

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1043815996
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066812 Issued in NY
Practice address
111 Vredenburgh Ave
Yonkers, NY 10704-2167
Phone
(914) 378-9314
Fax
(914) 378-9320
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066812 NY Primary

Addresses

Primary practice location

111 Vredenburgh Ave
Yonkers, NY 10704-2167

Mailing address

111 Vredenburgh Ave
Yonkers, NY 10704-2167
Phone (914) 378-9314

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
066812NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1043815996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VREDENBURGH AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042167",
            "telephone_number": "914-378-9314",
            "fax_number": "914-378-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VREDENBURGH AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042167",
            "telephone_number": "914-378-9314",
            "fax_number": "914-378-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGAUD",
        "first_name": "MARIAH",
        "middle_name": "ASHLIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.