Julia Rose Atkins, PHARM.D RPH
Individual provider Active NPI Pharmacist · Fayetteville, NY
NPI 1073100434 · NPPES record last updated Jan 18, 2021
Key facts
- NPI
- 1073100434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 066722 (NY)
- Practice address
- 6789 E Genesee St
Fayetteville, NY 13066-1640 - Phone
- (315) 446-1180
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066722 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 066722 | NY | Yes |
Addresses
Primary practice location
6789 E Genesee St
Fayetteville, NY 13066-1640
Mailing address
6789 E Genesee St
Fayetteville, NY 13066-1640
Phone (315) 857-6610
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.