Individual provider Active NPI

Ellen I Froum

  • Pharmacist
  • West Nyack, NY
National Provider Identifier
1396063731
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025709 Issued in NY
Practice address
243 Route 59
West Nyack, NY 10994-2036
Phone
(845) 353-4949
Fax
(845) 353-3993
NPI assigned
May 10, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 025709 NY Primary

Addresses

Primary practice location

243 Route 59
West Nyack, NY 10994-2036

Mailing address

243 Route 59
West Nyack, NY 10994-2036
Phone (845) 353-4949

Other names 1

  • Ellen I Barr Former name

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

LicenseStateTypeSpecialty
025709NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inserra Supermarkets Inc Past Accepting new patients
Inserra Supermarket Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1396063731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ROUTE 59",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942036",
            "telephone_number": "845-353-4949",
            "fax_number": "845-353-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ROUTE 59",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942036",
            "telephone_number": "845-353-4949",
            "fax_number": "845-353-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROUM",
        "first_name": "ELLEN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "BARR",
            "middle_name": "I",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.