Mary Clare Deacon, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

038064 Issued in NY

Practice address

2025 Sheridan Dr
Buffalo, NY 14223-1201

Phone

(716) 873-7813

Fax

(716) 873-2177

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

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.

• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1447435441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RAMONA AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202306",
            "telephone_number": "716-822-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231201",
            "telephone_number": "716-873-7813",
            "fax_number": "716-873-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar De Leon, MD
• Joseph A De Nagy, DO
• Nadine De Nijs, MD
• Dawn M De Nisco, CRNA
• Ashera Ruth De Rosa, LMFT
• Deaf Access Services
• Brenda Dean, MS, ATC
• Camry Dean
• Lisette Dean
• Logan Marie Dean

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.