Individual provider Active NPI

Debbie Coltrain Skakle, RPH.

  • Pharmacist
  • Cary, NC
National Provider Identifier
1356643290
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9273 Issued in NC
Practice address
1273 NW Maynard Rd
Cary, NC 27513-8726
Phone
(919) 380-9933
Fax
(919) 380-9906
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9273 NC Primary

Addresses

Primary practice location

1273 NW Maynard Rd
Cary, NC 27513-8726

Mailing address

1273 NW Maynard Rd
Cary, NC 27513-8726
Phone (919) 380-9933

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

LicenseStateTypeSpecialty
9273NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1356643290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 NW MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138726",
            "telephone_number": "919-380-9933",
            "fax_number": "919-380-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 NW MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138726",
            "telephone_number": "919-380-9933",
            "fax_number": "919-380-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAKLE",
        "first_name": "DEBBIE",
        "middle_name": "COLTRAIN",
        "name_prefix": "Ms.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.