Active NPI
Jennifer Levine Dezubay, PHARMD
- Pharmacist
- Raleigh, NC
National Provider Identifier
1144611674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26156
- Practice address
- 2100 New Bern Ave
Raleigh, NC 27610 - Phone
- (919) 212-2555
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26156 | NC | Primary |
Addresses
Primary practice location
2100 New Bern Ave
Raleigh, NC 27610
Mailing address
335 Roberts Ridge Dr
Cary, NC 27513-9681
Phone (919) 605-6584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26156 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1144611674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 ROBERTS RIDGE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275139681",
"telephone_number": "919-605-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-212-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEZUBAY",
"first_name": "JENNIFER",
"middle_name": "LEVINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.