Individual provider Active NPI

Deanna Marie Macie, PHARMD

  • Pharmacist
  • Elma, NY
National Provider Identifier
1407977796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049713 Issued in NY
Practice address
2317 Bowen Road
Elma, NY 14059-9497
Phone
(716) 652-3920
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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

State licenses

LicenseStateTypeSpecialty
049713NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
J Rutowski of Elma Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049713 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

2317 Bowen Road
Elma, NY 14059-9497

Mailing address

42 Lake Forest Pkwy
Lancaster, NY 14086-9690
Phone (716) 683-7982

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407977796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE FOREST PKWY",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869690",
            "telephone_number": "716-683-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BOWEN ROAD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599497",
            "telephone_number": "716-652-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIE",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.