Donna Fenner I

Primary specialty

PharmacistTaxonomy code 183500000X

License

037512 Issued in NY

Practice address

2305 Jericho Tpke
Garden City Park, NY 11040-4709

Phone

(516) 741-1510

NPI assigned

Feb 13, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pathmark Stores Inc

  • Pharmacy
  • Staten Island, NY
  • NPI 1558461590
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1528236403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 209TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 JERICHO TPKE",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110404709",
            "telephone_number": "516-741-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNER",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "037512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marci Choi
• Susan Digregorio, R.PH.
• Stephen Jason Dini, D.P.M.
• Jacquelyn E English, D.O.
• Family Individual Couples Children Psychotherapy PLLC
• Garden City Park Water District
• Mercy M George, M.S. RPH.
• Robert Joseph Goebel, D.C.
• Gregory A Hobbs, PH.D.
• Insta RX Inc.

• Pharmacist in Garden City Park, NY
• Providers in Garden City Park, NY by specialty
• Pharmacist in New York

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