Active NPI
Deanna R Defalco, RPH
- Pharmacist
- Raleigh, NC
National Provider Identifier
1174970586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24613
- Practice address
- 4505 Falls of Neuse Rd
Suite 550
Raleigh, NC 27609-6277 - Phone
- (919) 674-3660
- NPI assigned
- May 16, 2016
- 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 | 24613 | NC | Primary |
Addresses
Primary practice location
4505 Falls of Neuse Rd
Suite 550
Raleigh, NC 27609-6277
Mailing address
4505 Falls of Neuse Rd
Suite 550
Raleigh, NC 27609-6277
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 |
|---|---|---|---|
| 24613 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1174970586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 FALLS OF NEUSE RD",
"address_2": "SUITE 550",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 FALLS OF NEUSE RD",
"address_2": "SUITE 550",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096277",
"telephone_number": "919-674-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFALCO",
"first_name": "DEANNA",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24613",
"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 May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.