Active NPI
Debora Santiago III
- Pharmacy Technician
- Meriden, CT
National Provider Identifier
1578616751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 4460
- Practice address
- 172 W Main St
Meriden, CT 06451-4104 - Phone
- (203) 235-6305
- Fax
- (203) 235-0244
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 4460 | CT | Primary |
Addresses
Primary practice location
172 W Main St
Meriden, CT 06451-4104
Mailing address
61 Kensington HTS
Meriden, CT 06451-2035
Phone (203) 440-3041
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578616751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 KENSINGTON HTS",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512035",
"telephone_number": "203-440-3041",
"fax_number": "203-235-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064514104",
"telephone_number": "203-235-6305",
"fax_number": "203-235-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "DEBORA",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CT",
"license": "4460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.