Heather L Damour, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

049041 Issued in NY

Practice address

173 Church St
Saranac Lake, NY 12983-1843

Phone

(518) 891-6033

NPI assigned

Nov 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1336320423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CHURCH ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831843",
            "telephone_number": "518-891-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CHURCH ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831843",
            "telephone_number": "518-891-6033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Saranac Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Placid",
            "state": "NY",
            "postal_code": "129461181",
            "country_code": "US",
            "telephone_number": "518-523-5030 x203",
            "fax_number": "518-523-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMOUR",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "049041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dulac Cook, CCMP, CRANIO THERAPY
• Elisabeth Cottom, PHARM. D.
• Virginia Lee Cuttaia, RN
• Tomas Julius Cyvas
• Timothy Czelusniak Serviss, CASAC
• Kathryn Clark Dearborn, CRNA
• John White Decker, M.D.
• Sheila Decker
• Monica Dederick
• Jessica Defuria

• Pharmacist in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.