Debra A Peredo

Primary specialty

PharmacistTaxonomy code 183500000X

License

I057093 Issued in NY

Practice address

929 Broadway
Woodmere, NY 11598-1759

Phone

(516) 569-1689

NPI assigned

Sep 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• CVS Albany LLC

  • Pharmacy
  • Woodmere, NY
  • NPI 1922102748
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1407257983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 30TH ST",
            "address_2": "APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022065",
            "telephone_number": "516-244-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981759",
            "telephone_number": "516-569-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDO",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I057093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Health Physical Therapy, PC
• Elizabeth Pena
• Peninsula Counseling Center
• Peninsula Counseling Center Inc
• Shoshana Penstein, MA
• Joan Perkell, SOCIAL WORKER MSW
• Dylan Rose Pingree
• Ira A Pion, M.D.
• Shatavia Tiarra Plowden
• Martin Pohrille, LCSW

• Pharmacist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.