David Ethan Porter, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

060721 Issued in NY

Practice address

40 Vassar Rd
Poughkeepsie, NY 12603-5247

Phone

(845) 462-9773

Fax

(845) 463-3926

NPI assigned

Jul 23, 2015

Sex

Male

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

Credentials

Doctor of Pharmacy

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.

• City Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Poughkeepsie, NY
  • NPI 1043683212
  NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1548645138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VASSAR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035247",
            "telephone_number": "845-462-9773",
            "fax_number": "845-463-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 VASSAR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035247",
            "telephone_number": "845-462-9773",
            "fax_number": "845-463-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DAVID",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Heather Porreca, DO
• Port Jervis Medical, PLLC
• Ariana N Portante
• John Portelli III, MD FACC
• Paula Portelli, ACNP
• Lorin Porth, MGC
• Sonia Portugal, LCSW
• Julie M Potter, PT, DPT
• Poughkeepsie Chiropractic PC
• Poughkeepsie City School District

• Pharmacist in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 26, 2017; 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.