Active NPI
Natale Dabulewicz
- Pharmacist
- Watertown, NY
National Provider Identifier
1780076992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059189
- Practice address
- 128 W Main St
Watertown, NY 13601-1989 - Phone
- (315) 782-5961
- NPI assigned
- Feb 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059189 | NY | Primary |
Addresses
Primary practice location
128 W Main St
Watertown, NY 13601-1989
Mailing address
127 Spring Ave
Apt B10
Watertown, NY 13601-3642
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boltons Pharmacy Inc | Pharmacist | Past | Accepting new patients |
| Boltons Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Watertown, NY
- NPI 1699319335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1780076992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 SPRING AVE",
"address_2": "APT B10",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W MAIN ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136011989",
"telephone_number": "315-782-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABULEWICZ",
"first_name": "NATALE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.