Active NPI
Debra Mae Allen, RPH
- Pharmacist
- Pierceton, IN
National Provider Identifier
1750390050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26014520A
- Practice address
- 5018 E Pierceton Rd
Pierceton, IN 46562-9356 - Phone
- (574) 594-5866
- NPI assigned
- Aug 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13744 | OK | |
| Pharmacist | 183500000X | PD10266 | AR | |
| Pharmacist | 183500000X | 26014520A | IN | Primary |
Addresses
Primary practice location
5018 E Pierceton Rd
Pierceton, IN 46562-9356
Mailing address
5018 E Pierceton Rd
Pierceton, IN 46562-9356
Phone (574) 594-5866
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26014520A | Other | IN | STATE LICENSE NUMBER |
| 13744 | Other | OK | STATE LICENSE NUMBER |
| PD10266 | Other | AR | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| PD10266 | AR | MD | Pharmacist |
| 26014520A | IN | MD | Pharmacist |
| 13744 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750390050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 E PIERCETON RD",
"city": "PIERCETON",
"state": "IN",
"postal_code": "465629356",
"telephone_number": "574-594-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5018 E PIERCETON RD",
"city": "PIERCETON",
"state": "IN",
"postal_code": "465629356",
"telephone_number": "574-594-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DEBRA",
"middle_name": "MAE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13744",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10266",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014520A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "26014520A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "13744",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PD10266",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pierceton, IN
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.