Active NPI
Ashli Buddenhagen
- Pharmacist
- Norfolk, NY
National Provider Identifier
1336521376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0111768
- Practice address
- 496 Lacomb Rd
Norfolk, NY 13667-3252 - Phone
- (315) 250-0994
- NPI assigned
- Jun 26, 2015
- Last updated
- Mar 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062243 | NY | |
| Pharmacist | 183500000X | 033.0111768 | VT | Primary |
Addresses
Primary practice location
496 Lacomb Rd
Norfolk, NY 13667-3252
Mailing address
496 Lacomb Rd
Norfolk, NY 13667-3252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062243 | NY | MD | Pharmacist |
| 033.0111768 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1336521376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 LACOMB RD",
"city": "NORFOLK",
"state": "NY",
"postal_code": "136673252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 LACOMB RD",
"city": "NORFOLK",
"state": "NY",
"postal_code": "136673252",
"telephone_number": "315-250-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDENHAGEN",
"first_name": "ASHLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062243",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0111768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.