Neil Robert Tierson, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

20-056034 Issued in NY

Practice address

29 E Main St
Gouverneur, NY 13642-1401

Phone

(315) 287-3600

Fax

(315) 597-9804

NPI assigned

Aug 12, 2011

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1861771487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421401",
            "telephone_number": "315-287-3600",
            "fax_number": "315-597-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERSON",
        "first_name": "NEIL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20-056034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany L Terpstra, PA
• Melissa Terpstra
• Michelle Tharrett
• Emily C Thomas
• Amy Jo Thorbahn, RN,BSN
• Timothy W. Moon,DO, PLLC
• Mark Daniel Truax, D.D.S.
• Tina L Walrath, LPN
• Watertown Medical Optical PLLC
• John L Welborn IV, FNP-C

• Pharmacist in Gouverneur, NY
• Providers in Gouverneur, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.