Individual provider Active NPI

Philippe Denayer, PHARM.D.

  • Pharmacist
  • Fairfield, CA
National Provider Identifier
1356695746
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55769 Issued in CA
Practice address
4651 Tourmaline CT
Fairfield, CA 94534-4183
Phone
(707) 685-0925
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55769 CA Primary

Addresses

Primary practice location

4651 Tourmaline CT
Fairfield, CA 94534-4183

Mailing address

4651 Tourmaline CT
Fairfield, CA 94534-4183
Phone (707) 685-0925

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
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1356695746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 TOURMALINE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344183",
            "telephone_number": "707-685-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 TOURMALINE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344183",
            "telephone_number": "707-685-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAYER",
        "first_name": "PHILIPPE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.