Debra Marie Hotaling, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

037625 Issued in NY

Practice address

601 19TH St
Watervliet, NY 12189-2099

Phone

(518) 641-4920

NPI assigned

Sep 18, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669088308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 19TH ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892099",
            "telephone_number": "518-641-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 19TH ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892099",
            "telephone_number": "518-641-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTALING",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Watervliet",
            "affiliation": "Y",
            "address_1": "601 19th St",
            "city": "Watervliet",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121892099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edie Harris, PCA/CHHA
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• Moira Hilt, PT
• William James Hogan, D.D.S.
• Kara Howansky, OTD, OTR/L
• Hudson Shores Medical Group PLLC
• Kathleen Ann Innes, LMSW, MA
• Integrity Case Management Services LLC
• Cassandra T Jaquish, FNP-BC

• Pharmacist in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.