Individual provider Active NPI

Karl D Fiebelkorn, RPH, MBA

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1285768267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031636 Issued in NY
Practice address
University at Buffalo School of Pharmacy Pharm Sci
126 A Cooke Hall
Buffalo, NY 14260-1200
Phone
(716) 645-2824
Fax
(716) 645-3688
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031636 NY Primary

Addresses

Primary practice location

University at Buffalo School of Pharmacy Pharm Sci
126 A Cooke Hall
Buffalo, NY 14260-1200

Mailing address

33 Deer Ridge CT
Getzville, NY 14068-1292
Phone (716) 636-3022

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
031636NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285768267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DEER RIDGE CT",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681292",
            "telephone_number": "716-636-3022",
            "fax_number": "716-636-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY AT BUFFALO SCHOOL OF PHARMACY PHARM SCI",
            "address_2": "126 A COOKE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142601200",
            "telephone_number": "716-645-2824",
            "fax_number": "716-645-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBELKORN",
        "first_name": "KARL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.