Active NPI
Anita C Dwaileebe, RPH
- Pharmacist
- Olean, NY
National Provider Identifier
1265611594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042261-1
- Practice address
- 2401 W State St
Olean, NY 14760-1921 - Phone
- (716) 373-1105
- Fax
- (716) 373-6297
- NPI assigned
- Nov 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042261-1 | NY | Primary |
Addresses
Primary practice location
2401 W State St
Olean, NY 14760-1921
Mailing address
301 Madison Ave
Olean, NY 14760-1617
Phone (716) 372-7443
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 |
|---|---|---|---|
| 042261-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1265611594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MADISON AVE",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601617",
"telephone_number": "716-372-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W STATE ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601921",
"telephone_number": "716-373-1105",
"fax_number": "716-373-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWAILEEBE",
"first_name": "ANITA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042261-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.