Individual provider Active NPI

Debbie Sousa, PHARMD, RPH

  • Pharmacist
  • North Brookfield, MA
National Provider Identifier
1194328047
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH238254 Issued in MA
Practice address
5 Gilbert St
North Brookfield, MA 01535-1409
Phone
(508) 867-4891
Fax
(508) 867-4896
NPI assigned
Nov 20, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY-00844 NH
Pharmacist 183500000X RPH06040 RI
Pharmacist 183500000X PCT.0014737 CT
Pharmacist 183500000X PH238254 MA Primary

Addresses

Primary practice location

5 Gilbert St
North Brookfield, MA 01535-1409

Mailing address

5 Gilbert St
North Brookfield, MA 01535-1409
Phone (508) 867-4891

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0014737CTMDPharmacist
PH238254MAMDPharmacist
PHCY-00844NHMDPharmacist
RPH06040RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Distributors LLC PastSince Nov 22, 2020 Accepting new patients
Victory Distributors LLC PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1194328047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GILBERT ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015351409",
            "telephone_number": "508-867-4891",
            "fax_number": "508-867-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GILBERT ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015351409",
            "telephone_number": "508-867-4891",
            "fax_number": "508-867-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "DEBBIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-00844",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06040",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014737",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH238254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brookfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.