Active NPI
Debra Diane Fergeson, B.S.
- Pharmacist
- Paw Paw, MI
National Provider Identifier
1265449698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302025652
- Practice address
- 847 S Kalamazoo St
Paw Paw, MI 49079-9230 - Phone
- (269) 657-7118
- Fax
- (269) 657-1779
- NPI assigned
- Aug 1, 2006
- 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 | 5302025652 | MI | Primary |
Addresses
Primary practice location
847 S Kalamazoo St
Paw Paw, MI 49079-9230
Mailing address
847 S Kalamazoo St
Paw Paw, MI 49079-9230
Phone (269) 657-1778
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302025652 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1265449698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 S KALAMAZOO ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490799230",
"telephone_number": "269-657-1778",
"fax_number": "269-657-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 S KALAMAZOO ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490799230",
"telephone_number": "269-657-7118",
"fax_number": "269-657-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGESON",
"first_name": "DEBRA",
"middle_name": "DIANE",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.