Active NPI
Babette Michelle Leblanc
- Pharmacist
- Tupper Lake, NY
National Provider Identifier
1457534489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039550
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 039550 | NY | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039550 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00666711 | Medicaid | NY |
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.