Deanna Phoenix, PHARM.D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

052927 Issued in NY

Practice address

Elm & Carlton Streets, Main Hospital
Roswell Park Cancer Institute
Buffalo, NY 14623

Phone

(716) 845-4046

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1811371610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROSWELL PARK CANCER INSTITUTE",
            "address_2": "ELM AND CARLTON ST, MAIN HOSPITAL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM & CARLTON STREETS, MAIN HOSPITAL",
            "address_2": "ROSWELL PARK CANCER INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "716-845-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "DEANNA",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "052927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "052927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Phillips
• Sean Erik Phinney, MD
• Roy M Phipps
• Phoenix Frontier Inc.
• Phoenix Mental Health, LLC
• Sara J Photiadis, M.D.
• Jae K Phyo, PHARMACIST
• Physician Mobile Medical Care PC
• Lucila Piasecki
• Natalie Hashamine Piatko

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.