Active NPI
Debra J White
- Pharmacist
- Great Neck, NY
National Provider Identifier
1699956128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036139
- Practice address
- 50 Great Neck Rd
Great Neck, NY 11021-3305 - Phone
- (516) 466-3050
- Fax
- (516) 466-4809
- NPI assigned
- Nov 27, 2007
- 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 | 036139 | NY | Primary |
Addresses
Primary practice location
50 Great Neck Rd
Great Neck, NY 11021-3305
Mailing address
2629 Ramona St
East Meadow, NY 11554-5319
Phone (516) 781-8605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01562394 | Medicaid | NY |
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 |
|---|---|---|---|
| 036139 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1699956128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 RAMONA ST",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115545319",
"telephone_number": "516-781-8605",
"fax_number": "516-781-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GREAT NECK RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213305",
"telephone_number": "516-466-3050",
"fax_number": "516-466-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEBRA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01562394",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.