Individual provider Active NPI

Tina Li Fiebelkorn, R.PH.

  • Geriatric Pharmacist
  • Getzville, NY
National Provider Identifier
1851425839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
32599 Issued in NY
Practice address
33 Deer Ridge CT
Getzville, NY 14068-1292
Phone
(716) 636-3022
Fax
(716) 636-3022
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 32599 NY Primary

Addresses

Primary practice location

33 Deer Ridge CT
Getzville, NY 14068-1292

Mailing address

33 Deer Ridge CT
Getzville, NY 14068-1292
Phone (716) 636-3022

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

LicenseStateTypeSpecialty
32599NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851425839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DEER RIDGE CT",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681292",
            "telephone_number": "716-636-3022",
            "fax_number": "716-636-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DEER RIDGE CT",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681292",
            "telephone_number": "716-636-3022",
            "fax_number": "716-636-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBELKORN",
        "first_name": "TINA",
        "middle_name": "LI",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "32599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Getzville, NY

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.

Verify at the official NPI Registry.