Active NPI
Deborah Jane Modjeski, PHARM D
- Pharmacist
- Butler, PA
National Provider Identifier
1619086212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8648
- Practice address
- 325 New Castle Rd
Butler, PA 16001-2418 - Phone
- (724) 287-4781
- Fax
- (724) 285-2700
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 8648 | KY | Primary |
Addresses
Primary practice location
325 New Castle Rd
Butler, PA 16001-2418
Mailing address
105 Stonefield Dr
Cranberry Township, PA 16066-3333
Phone (724) 776-5201
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8648 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619086212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 STONEFIELD DR",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160663333",
"telephone_number": "724-776-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NEW CASTLE RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012418",
"telephone_number": "724-287-4781",
"fax_number": "724-285-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODJESKI",
"first_name": "DEBORAH",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "8648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
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.