Active NPI
Diane Mary Fischer, R.PH. CPG
- Geriatric Pharmacist
- Mahopac, NY
National Provider Identifier
1568537876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 034688-1
- Practice address
- 935 S Lake Blvd
Suite 6
Mahopac, NY 10541-3218 - Phone
- (845) 208-3328
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 034688-1 | NY | Primary |
Addresses
Primary practice location
935 S Lake Blvd
Suite 6
Mahopac, NY 10541-3218
Mailing address
935 S Lake Blvd
Suite 6
Mahopac, NY 10541-3218
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 |
|---|---|---|---|
| 034688-1 | NY | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1568537876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 S LAKE BLVD",
"address_2": "SUITE 6",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 S LAKE BLVD",
"address_2": "SUITE 6",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413218",
"telephone_number": "845-208-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "DIANE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "R.PH. CPG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "034688-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.