Active NPI
Diane Lynn Desorbo, RPH
- Pharmacist
- Albany, NY
National Provider Identifier
1710145545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040862
- Practice address
- 16 Walker Way
Albany, NY 12205-4995 - Phone
- (518) 452-7795
- Fax
- (518) 452-4494
- NPI assigned
- May 29, 2008
- 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 | 040862 | NY | Primary |
Addresses
Primary practice location
16 Walker Way
Albany, NY 12205-4995
Mailing address
16 Walker Way
Albany, NY 12205-4995
Phone (518) 452-7795
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040862 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1710145545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WALKER WAY",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054995",
"telephone_number": "518-452-7795",
"fax_number": "518-452-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WALKER WAY",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054995",
"telephone_number": "518-452-7795",
"fax_number": "518-452-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESORBO",
"first_name": "DIANE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.