Active NPI
Debra L Updyke, RPH
- Pharmacist
- Clinton, CT
National Provider Identifier
1265415673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08446
- Practice address
- 266 E Main St
Shoprite Pharmacy
Clinton, CT 06413 - Phone
- (860) 669-6619
- Fax
- (203) 484-9530
- NPI assigned
- Nov 21, 2005
- Last updated
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08446 | CT | Primary |
| Pharmacist | 183500000X | 15443 | IN |
Addresses
Primary practice location
266 E Main St
Shoprite Pharmacy
Clinton, CT 06413
Mailing address
1289 Foxon Rd
North Branford, CT 06471-1289
Phone (203) 484-9681
Other names 1
- Ms. Debra L Updyke
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 |
|---|---|---|---|
| 15443 | IN | MD | Pharmacist |
| 08446 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Y Foods, Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1265415673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 FOXON RD",
"city": "NORTH BRANFORD",
"state": "CT",
"postal_code": "064711289",
"telephone_number": "203-484-9681",
"fax_number": "203-484-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 E MAIN ST",
"address_2": "SHOPRITE PHARMACY",
"city": "CLINTON",
"state": "CT",
"postal_code": "06413",
"telephone_number": "860-669-6619",
"fax_number": "203-484-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPDYKE",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "08446",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "15443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "UPDYKE",
"middle_name": "L",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.