Active NPI
Erik Anthony Debruin, PHARMACIST
- Oncology Pharmacist
- Albany, NY
National Provider Identifier
1093993602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 031212
- Practice address
- 400 Patroon Creek Blvd
Suite 1
Albany, NY 12206-5013 - Phone
- (518) 489-0044
- Fax
- (518) 489-3591
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 031212 | NY | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 1
Albany, NY 12206-5013
Mailing address
400 Patroon Creek Blvd
Suite 1
Albany, NY 12206-5013
Phone (518) 489-0044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031212 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1093993602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065013",
"telephone_number": "518-489-0044",
"fax_number": "518-489-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065013",
"telephone_number": "518-489-0044",
"fax_number": "518-489-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRUIN",
"first_name": "ERIK",
"middle_name": "ANTHONY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NY",
"license": "031212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.