Individual provider Active NPI

Kathleen Marie Dragone, RPH

  • Pharmacist
  • Ovid, NY
National Provider Identifier
1104080415
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30911 Issued in NY
Practice address
7115 N Main St
Ovid, NY 14521-0369
Phone
(607) 869-5033
Fax
(607) 869-5252
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 30911 NY Primary

Addresses

Primary practice location

7115 N Main St
Ovid, NY 14521-0369

Mailing address

7115 North Main St
P.O.
Ovid, NY 14521
Phone (607) 869-5033

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
30911NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1104080415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 NORTH MAIN ST",
            "address_2": "P.O.",
            "city": "OVID",
            "state": "NY",
            "postal_code": "14521",
            "telephone_number": "607-869-5033",
            "fax_number": "607-869-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 N MAIN ST",
            "city": "OVID",
            "state": "NY",
            "postal_code": "145210369",
            "telephone_number": "607-869-5033",
            "fax_number": "607-869-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGONE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "30911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ovid, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.