Gina Aubertine
Individual provider Active NPI Pharmacist · Watertown, NY
NPI 1346562972 · NPPES record last updated Feb 23, 2010
Key facts
- NPI
- 1346562972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 039412 (NY)
- Practice address
- 20823 State Route 3
Watertown, NY 13601-5577 - Phone
- (315) 786-7753
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039412 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039412 | NY | Yes |
Addresses
Primary practice location
20823 State Route 3
Watertown, NY 13601-5577
Mailing address
20823 State Route 3
Watertown, NY 13601-5577
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.