Individual provider Active NPI

Babette Michelle Leblanc

  • Pharmacist
  • Tupper Lake, NY
National Provider Identifier
1457534489
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039550 Issued in NY
Practice address
4 Pleasant Ave
Tupper Lake, NY 12986-1419
Phone
(518) 359-3378
Fax
(518) 359-9424
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

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
039550NYMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039550 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Pleasant Ave
Tupper Lake, NY 12986-1419

Mailing address

563 Deerland Rd
PO Box 68
Long Lake, NY 12847-0068

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00666711MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2007.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1457534489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 DEERLAND RD",
            "address_2": "PO BOX 68",
            "city": "LONG LAKE",
            "state": "NY",
            "postal_code": "128470068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PLEASANT AVE",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129861419",
            "telephone_number": "518-359-3378",
            "fax_number": "518-359-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "BABETTE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00666711",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupper Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.