Individual provider Active NPI

Christine Robataille, RPH

  • Pharmacist
  • Gloversville, NY
National Provider Identifier
1396972014
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042428 Issued in NY
Practice address
233 5TH Ave Ext
Gloversville, NY 12078-1814
Phone
(518) 773-8577
Fax
(518) 773-8577
NPI assigned
Jun 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042428 NY Primary

Addresses

Primary practice location

233 5TH Ave Ext
Gloversville, NY 12078-1814

Mailing address

233 5TH Ave Ext
Gloversville, NY 12078-1814
Phone (518) 773-8577

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
042428NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1396972014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 5TH AVE EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781814",
            "telephone_number": "518-773-8577",
            "fax_number": "518-773-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 5TH AVE EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781814",
            "telephone_number": "518-773-8577",
            "fax_number": "518-773-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBATAILLE",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.