Active NPI
Sharon Lynn Segouin, RPH
- Pharmacist
- Alexandria Bay, NY
National Provider Identifier
1164744769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041935
- Practice address
- 21 State Route 12
Alexandria Bay, NY 13607-1520 - Phone
- (315) 482-6171
- NPI assigned
- Feb 23, 2010
- 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 | 041935 | NY | Primary |
Addresses
Primary practice location
21 State Route 12
Alexandria Bay, NY 13607-1520
Mailing address
19705 Collins LNDG E
Alexandria Bay, NY 13607-4120
Phone (315) 482-4669
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041935 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1164744769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19705 COLLINS LNDG E",
"city": "ALEXANDRIA BAY",
"state": "NY",
"postal_code": "136074120",
"telephone_number": "315-482-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 STATE ROUTE 12",
"city": "ALEXANDRIA BAY",
"state": "NY",
"postal_code": "136071520",
"telephone_number": "315-482-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOUIN",
"first_name": "SHARON",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.