Active NPI
Debra Scardino Treutel, RPH
- Pharmacist
- D'Iberville, MS
National Provider Identifier
1497355606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E7210
- Practice address
- 3615 Sangani Blvd
Diberville, MS 39540-8770 - Phone
- (228) 396-4778
- Fax
- (228) 396-0129
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E7210 | MS | Primary |
Addresses
Primary practice location
3615 Sangani Blvd
Diberville, MS 39540-8770
Mailing address
3615 Sangani Blvd
Diberville, MS 39540-8770
Phone (228) 396-4778
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7210 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1497355606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 SANGANI BLVD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408770",
"telephone_number": "228-396-4778",
"fax_number": "228-396-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 SANGANI BLVD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408770",
"telephone_number": "228-396-4778",
"fax_number": "228-396-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREUTEL",
"first_name": "DEBRA",
"middle_name": "SCARDINO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E7210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in D'Iberville, MS
- Milton Eduardo Torres Caban, DMD
- Total Renal Care Inc (Gulf Islands Home Training)
- Christina Tran
- Doan Khanh Tran, D.M.D
- Debra L Traughber, LPC-S, ACS
- Melissa Wilson Tucker, M.D.
- Angelos Basil Vamvakas, M.D.
- Vitality Wellness Clinic LLC (Vitality Medical Clinic and Spa)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-6166)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2715)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.